Active NPI
Restore Osteo of Colorado LLC
Doing business as Spruce Health Group
- Internal Medicine Physician
- Boulder, CO
National Provider Identifier
1053020578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RESTORE OSTEO OF COLORADO LLC
- Doing business as
- Spruce Health Group
- Practice address
- 3100 Arapahoe Ave Ste 200
Boulder, CO 80303-1050 - Phone
- (303) 997-6621
- Fax
- (303) 997-7522
- NPI assigned
- Nov 23, 2022
- Organization subpart
- Yes
- Parent organization
- RESTORE OSTEO OF COLORADO LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Osgood
- Title
- Ceo
- Phone
- (419) 508-7686
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Family Medicine Physician | 207Q00000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Orthotic Fitter | 225000000X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
3100 Arapahoe Ave Ste 200
Boulder, CO 80303-1050
Mailing address
3100 Arapahoe Ave Ste 200
Boulder, CO 80303-1050
Phone (303) 997-6621
Other names 1
- Spruce Health Group
National Provider Directory
National Provider Directory- Part of
- Restore Osteo of Co LLC
Locations
3100 Arapahoe Ave
Ste 200
Boulder, CO 80303
Phone (303) 997-6621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1053020578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 ARAPAHOE AVE STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031050",
"telephone_number": "303-997-6621",
"fax_number": "303-997-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 ARAPAHOE AVE STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031050",
"telephone_number": "303-997-6621",
"fax_number": "303-997-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE OSTEO OF COLORADO LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RESTORE OSTEO OF COLORADO LLC",
"enumeration_date": "2022-11-23",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "OSGOOD",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "419-508-7686"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spruce Health Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Spruce Health Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.