Active NPI
John Richard McInerney Jr., M.D.
- Occupational Medicine Physician
- Arvada, CO
National Provider Identifier
1932102282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 21030
- Practice address
- 9950 W 80TH Ave Ste 17
Arvada, CO 80005-3914 - Phone
- (303) 423-9585
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 21030 | CO | Primary |
Addresses
Primary practice location
9950 W 80TH Ave Ste 17
Arvada, CO 80005-3914
Mailing address
511 N Ford St
Golden, CO 80403-1356
Phone (303) 278-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21030 | Other | CO | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21030 | CO | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932102282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N FORD ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031356",
"telephone_number": "303-278-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9950 W 80TH AVE STE 17",
"city": "ARVADA",
"state": "CO",
"postal_code": "800053914",
"telephone_number": "303-423-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINERNEY",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CO",
"license": "21030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "21030",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.