Provider Demographics
NPI:1992842132
Name:ALDEN, KRIS JOHN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:KRIS
Middle Name:JOHN
Last Name:ALDEN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 CASTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1159
Mailing Address - Country:US
Mailing Address - Phone:970-742-0115
Mailing Address - Fax:239-333-1169
Practice Address - Street 1:200 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-8472
Practice Address - Country:US
Practice Address - Phone:970-742-0115
Practice Address - Fax:970-742-0116
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN49647207X00000X
IL036118925207X00000X
CODR.0073299207XS0114X
FLME140596207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL117021900Medicaid
IL036118925Medicaid
IL036118925Medicaid
IL036118925Medicaid
MN200002635Medicare PIN