Active NPI
Joseph Kuzemchak
- Health Maintenance Organization
- Centennial, CO
National Provider Identifier
1962888966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Practice address
- 6105 S. Parker Rd
Apt. 8103
Centennial, CO 80016 - Phone
- (814) 880-8795
- NPI assigned
- Aug 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
6105 S. Parker Rd
Apt. 8103
Centennial, CO 80016
Mailing address
6105 S. Parker Rd
Apt. 8103
Centennial, CO 80016
Phone (814) 880-8795
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1962888966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6105 S. PARKER RD",
"address_2": "APT. 8103",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80016",
"telephone_number": "814-880-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6105 S. PARKER RD",
"address_2": "APT. 8103",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80016",
"telephone_number": "814-880-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUZEMCHAK",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.