DR. KENNETH A PETTINE M.D.
NPI 1720069198
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Johnstown, CO

Q: What is Kenneth Pettine's NPI number?

The NPI number for Kenneth Pettine is 1720069198. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Kenneth Pettine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Pettine was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 10, 2005

4795 LARIMER PARKWAY, JOHNSTOWN, CO 80534(970) 669-8881(970) 669-4200 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth A Pettine M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH A PETTINE M.D. (NPI 1720069198) is an individual orthopaedic surgery of the spine provider in Johnstown, Colorado, licensed in Colorado (29524) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1720069198

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. KENNETH A PETTINECredential: M.D.

Location Address4795 LARIMER PARKWAYJohnstown, CO 80534

Mailing Address4795 Larimer ParkwayJohnstown, CO 80534 · (970) 669-8881 · Fax (970) 669-4200

Phone(970) 669-8881

Fax(970) 669-4200

Sole ProprietorNo

Enumeration DateNovember 10, 2005

Last NPPES UpdateMarch 23, 2015

✔ NPI 1720069198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in CO · 29524

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

4795 LARIMER PARKWAY, Johnstown, CO 80534

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Other Identifiers 3

Medicare UPINB92648CO

Medicare PINCB7718CO

Medicaid01295245CO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCKY MOUNTAIN ASSOCIATES IN ORTHOPEDIC MEDICINE, PC

Orthopaedic Surgery

4795 LARIMER PARKWAY
JOHNSTOWN, CO 80534

Weld County (970) 669-8881

ROCKY MOUNTAIN ASSOCIATES IN ORTHOPEDIC MEDICINE, PC

Prosthetic/Orthotic Supplier

4795 LARIMER PARKWAY
JOHNSTOWN, CO 80534

Weld County (970) 669-8881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Pettine's NPI number?

The NPI number for Kenneth Pettine is 1720069198. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Kenneth Pettine located?

Kenneth Pettine practices at 4795 Larimer Parkway, Johnstown, CO 80534. The listed phone number is (970) 669-8881.

What is Kenneth Pettine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Kenneth Pettine was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.