Organization Active NPI

Colorado Pain Relief of Colorado Springs Inc

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
National Provider Identifier
1053033340
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COLORADO PAIN RELIEF OF COLORADO SPRINGS INC
Practice address
1304 N Academy Blvd Ste 209
Colorado Springs, CO 80909-3318
Phone
(719) 488-1315
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO PAIN RELIEF OF COLORADO SPRINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Ryan Thomas
Title
Owner
Phone
(719) 525-8577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1304 N Academy Blvd Ste 209
Colorado Springs, CO 80909-3318

Mailing address

1304 N Academy Blvd Ste 209
Colorado Springs, CO 80909-3318
Phone (719) 488-1315

Other identifiers 1

IdentifierTypeStateIssuer
9000176409MedicaidCO

Other names 1

  • DME Other name

National Provider Directory

National Provider Directory
Tax ID family
Colorado Pain Relief of Colorado Springs Inc2 organizations share this tax ID, including this one
Part of
Colorado Pain Relief of Colorado Springs Inc

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1053033340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD STE 209",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093318",
            "telephone_number": "719-488-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD STE 209",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093318",
            "telephone_number": "719-488-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PAIN RELIEF OF COLORADO SPRINGS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO PAIN RELIEF OF COLORADO SPRINGS INC",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-525-8577"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176409",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.