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Export Provider Record NPI 1053304089
Kim BurrellDO
Active
NPI Number1053304089
NPI TypeNPI-1 Individual
SpecialtyOphthalmology
Provider Details
NPI1053304089
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-08-24
Last Updated2026-03-16
Mailing Address13111 E Briarwood Ave Ste 105
Centennial, CO 80112-3925
United States
Phone: (303) 699-3107 | Fax: (303) 699-3170
📍 View Map
Primary Practice Address13111 E Briarwood Ave Ste 105
Centennial, CO 80112-3925
United States
Phone: (303) 699-3107 | Fax: (303) 699-3170
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207W00000X – OphthalmologyCO33900
Export Provider Record NPI 1053304089
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About NPI 1053304089

Kim Burrell DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053304089. The primary specialty listed is Ophthalmology. The provider is located in Centennial, CO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053304089?

NPI 1053304089 belongs to Kim Burrell DO, a Ophthalmology in Centennial, CO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053304089 active?

The current status of NPI 1053304089 in the NPPES registry is Active. The record was last updated on 2026-03-16.

What specialty is NPI 1053304089?

NPI 1053304089 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053304089?

You can verify NPI 1053304089 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053304089?

The primary practice address on file for NPI 1053304089 is 13111 E Briarwood Ave Ste 105, Centennial, CO 80112-3925. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053304089 issued?

NPI 1053304089 was first issued (enumerated) on 2005-08-24. The NPPES record was last updated on 2026-03-16.

Practice Location Map

Kim Burrell is located at 13111 E Briarwood Ave Ste 105, Centennial, CO. Use the map below to find directions or verify the practice location.

📍 13111 E Briarwood Ave Ste 105, Centennial, CO 80112-3925  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kim Burrell. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053304089. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Ophthalmology33900CO
Data Verified from CMS NPPES Last synced: 2026-06-14 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162