Provider Demographics
NPI:1770588402
Name:AIKIN, JOHN D JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:AIKIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JACK
Other - Middle Name:D
Other - Last Name:AIKIN
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1420 W CANAL CT
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5655
Mailing Address - Country:US
Mailing Address - Phone:303-791-2841
Mailing Address - Fax:303-471-7555
Practice Address - Street 1:9088 RIDGELINE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2380
Practice Address - Country:US
Practice Address - Phone:720-266-6900
Practice Address - Fax:720-791-9920
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01237007Medicaid
COE05463Medicare UPIN
CO01237007Medicaid