NPIMap

Organization Active NPI

Pediatric Endocrine Associates, P.C.

  • Pediatric Endocrinology Physician
  • Colorado Springs, CO
National Provider Identifier
1063018190
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
PEDIATRIC ENDOCRINE ASSOCIATES, P.C.
Practice address
6965 Tutt Blvd Ste 210
Colorado Springs, CO 80923-3598
Phone
(303) 783-3883
NPI assigned
Dec 4, 2020
Organization subpart
Yes
Parent organization
PEDIATRIC ENDOCRINE ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Authorized official

Name
Sunil Nayak
Title
President
Phone
(303) 783-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

6965 Tutt Blvd Ste 210
Colorado Springs, CO 80923-3598

Mailing address

8200 E Belleview Ave Ste 510E
Greenwood Village, CO 80111-2808
Phone (303) 783-3883

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Endocrine Associates PC6 organizations share this tax ID, including this one
Part of
Pediatric Endocrine Associates PC

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607731200000",
    "number": "1063018190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 510E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112808",
            "telephone_number": "303-783-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 TUTT BLVD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233598",
            "telephone_number": "303-783-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINE ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC ENDOCRINE ASSOCIATES, P.C.",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-783-3883"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 2020; 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.