Individual provider Active NPI

John C Herlevich Jr., MD

  • Obstetrics & Gynecology Physician
  • Westminster, CO
National Provider Identifier
1952390874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
24575 Issued in CO
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245752MedicaidCO

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.

Verify at the official NPI Registry.