Organization Active NPI

J. David Cranor MD LLC

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1043783566
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J. DAVID CRANOR MD LLC
Practice address
2105 Bighorn Dr.
#102
Fort Collins, CO 80525-9166
Phone
(970) 226-6000
Fax
(970) 226-6007
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Dr. John David Cranor, MD
Title
Medical Doctor
Phone
(970) 232-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2105 Bighorn Dr.
#102
Fort Collins, CO 80525-9166

Mailing address

2105 Bighorn Dr.
#102
Fort Collins, CO 80525-9166
Phone (970) 226-6000

Other identifiers 1

IdentifierTypeStateIssuer
1962516328MedicaidCO

National Provider Directory

National Provider Directory

Locations

2105 Bighorn Rd
Ste 102
Fort Collins, CO 80525
Phone (970) 226-6000

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1043783566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BIGHORN DR.",
            "address_2": "#102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259166",
            "telephone_number": "970-226-6000",
            "fax_number": "970-226-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BIGHORN DR.",
            "address_2": "#102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259166",
            "telephone_number": "970-226-6000",
            "fax_number": "970-226-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DAVID CRANOR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "CRANOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "970-232-4505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962516328",
            "state": "CO"
        }
    ],
    "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 Jan 15, 2019; 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.