NPIMap

Organization Active NPI

Rocky Mountain Center for Reproductive Medicine PC

  • Reproductive Endocrinology Physician
  • Fort Collins, CO
National Provider Identifier
1013129642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
27514 Issued in CO
Legal business name
ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC
Practice address
1080 E Elizabeth St
Ft Collins, CO 80524
Phone
(970) 493-6353
Fax
(970) 493-6366
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla H Boldt
Title
Administrator
Phone
(970) 493-6353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X 27514 CO Primary

Addresses

Primary practice location

1080 E Elizabeth St
Ft Collins, CO 80524

Mailing address

1080 E Elizabeth St
Ft Collins, CO 80524
Phone (970) 493-6353

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013129642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E ELIZABETH ST",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-493-6353",
            "fax_number": "970-493-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E ELIZABETH ST",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-493-6353",
            "fax_number": "970-493-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLDT",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-493-6353"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CO",
            "license": "27514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.