Active NPI
John C Herlevich Jr., MD
- Obstetrics & Gynecology Physician
- Westminster, CO
National Provider Identifier
1952390874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 24575
- Practice address
- 8400 Alcott St
#103
Westminster, CO 80031-3817 - Phone
- (303) 428-9608
- Fax
- (303) 428-9638
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24575 | CO | Primary |
Addresses
Primary practice location
8400 Alcott St
#103
Westminster, CO 80031-3817
Mailing address
8400 Alcott St
#103
Westminster, CO 80031-3817
Phone (303) 428-9608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245752 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952390874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 ALCOTT ST",
"address_2": "#103",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800313817",
"telephone_number": "303-428-9608",
"fax_number": "303-428-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 ALCOTT ST",
"address_2": "#103",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800313817",
"telephone_number": "303-428-9608",
"fax_number": "303-428-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERLEVICH",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "24575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245752",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, 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.