Active NPI
Alonzo Childers, M.D.
- Otolaryngology Physician
- Loveland, CO
National Provider Identifier
1033182811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 21678
- Practice address
- 3820 N Grant Ave
Loveland, CO 80538-8412 - Phone
- (970) 593-1177
- Fax
- (970) 593-0470
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 21678 | CO | Primary |
Addresses
Primary practice location
3820 N Grant Ave
Loveland, CO 80538-8412
Mailing address
1120 E Elizabeth St
F-101
Fort Collins, CO 80524-4044
Phone (970) 221-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01216787 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21678 | CO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Ear, Nose and Throat, PC | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Fort Collins, CO
- NPI 1790720464
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033182811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E ELIZABETH ST",
"address_2": "F-101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244044",
"telephone_number": "970-221-1177",
"fax_number": "970-416-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 N GRANT AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388412",
"telephone_number": "970-593-1177",
"fax_number": "970-593-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "ALONZO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "21678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01216787",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.