NPIMap

Organization Active NPI

Nephrology Clinic PC

  • Medical Specialty Clinic/Center
  • Loveland, CO
National Provider Identifier
1023640513
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NEPHROLOGY CLINIC PC
Practice address
2988 Ginnala Dr
Loveland, CO 80538-2701
Phone
(970) 493-7733
NPI assigned
Feb 12, 2020
Organization subpart
Yes
Parent organization
NEPHROLOGY CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Tobey J. Mikula
Title
Practice Administrator
Phone
(970) 493-7733

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2988 Ginnala Dr
Loveland, CO 80538-2701

Mailing address

3351 Eastbrook Dr Ste 100
Fort Collins, CO 80525-5744
Phone (970) 493-7733

Other names 1

  • The Nephrology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Nephrology Clinic5 organizations share this tax ID, including this one
Part of
The Nephrology Clinic

Other organizations with this tax ID 4

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

Locations

2988 Ginnala Dr
Loveland, CO 80538
Phone (970) 633-0815

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1023640513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 EASTBROOK DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255744",
            "telephone_number": "970-493-7733",
            "fax_number": "970-493-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2988 GINNALA DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382701",
            "telephone_number": "970-493-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEPHROLOGY CLINIC PC",
        "enumeration_date": "2020-02-12",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MIKULA",
        "authorized_official_first_name": "TOBEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-493-7733"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Nephrology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Nephrology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.