NPIMap

Organization Active NPI

High Altitude Spine and Sport

  • Primary Care Clinic/Center
  • Boulder, CO
National Provider Identifier
1023339637
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
6322 Issued in CO
Legal business name
HIGH ALTITUDE SPINE AND SPORT
Practice address
2995 Baseline Rd
#101
Boulder, CO 80303-2318
Phone
(303) 829-1040
Fax
(303) 440-0905
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Richard Thomas Hansen III, D.C.
Title
President
Phone
(303) 829-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 6322 CO Primary

Addresses

Primary practice location

2995 Baseline Rd
#101
Boulder, CO 80303-2318

Mailing address

PO Box 7195
Boulder, CO 80306-7195
Phone (303) 829-1040

National Provider Directory

National Provider Directory

Locations

2995 Baseline Rd
#101
Boulder, CO 80303
Phone (303) 829-1040

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1023339637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7195",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803067195",
            "telephone_number": "303-829-1040",
            "fax_number": "303-440-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD",
            "address_2": "#101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032318",
            "telephone_number": "303-829-1040",
            "fax_number": "303-440-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH ALTITUDE SPINE AND SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-829-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.