Plasticity Centers of Colorado LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PLASTICITY CENTERS OF COLORADO LLC

Practice address

991 Southpark Dr Ste 200
Littleton, CO 80120-5689

Phone

(720) 912-2212

Fax

(720) 912-2212

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Shaun Kornfeld

Title

Lead Clinician

Phone

(720) 912-2212

Specialties & licenses 3

Addresses

Tax ID family

Plasticity Brain Centers of Orlando LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Plasticity Brain Centers of Orlando, LLC

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1053036616
  NPD tax ID

Locations

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1023627684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205689",
            "telephone_number": "720-912-2212",
            "fax_number": "720-912-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205689",
            "telephone_number": "720-912-2212",
            "fax_number": "720-912-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTICITY CENTERS OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "KORNFELD",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "LEAD CLINICIAN",
        "authorized_official_telephone_number": "720-912-2212"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cayla Plume, RBT
• Kathy L. Plummer, WHNP-BC
• Kelly Kuiken Poag
• Raymond Franklin Pohl, DDS

• Multi-Specialty Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.