Active NPI
J. David Cranor MD LLC
- Family Medicine Physician
- Fort Collins, CO
National Provider Identifier
1043783566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962516328 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.