Sky Ridge Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CHR.0006922 Issued in CO

Legal business name

SKY RIDGE MEDICAL

Doing business as

Sky Ridge Medical Supplies

Practice address

5950 S Willow Dr Ste 200
Greenwood Village, CO 80111-5144

Phone

(720) 515-8002

Fax

(303) 741-2676

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Johnson, DC

Title

Owner

Phone

(720) 515-8002

Specialties & licenses 1

Addresses

Other names 1

• Sky Ridge Medical Supplies Doing business as

Locations

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1073051967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115144",
            "telephone_number": "720-515-8002",
            "fax_number": "303-741-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115144",
            "telephone_number": "720-515-8002",
            "fax_number": "303-741-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY RIDGE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-515-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sky Ridge Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Ann Sirokman, CRNA
• Sislow Dennsistry PLLC
• Katherine Sislow, DDS
• Alina Sitaula, MS, CGC
• David Mark Skrzelowski, SRNA
• David Israel Slamowitz, MD
• Renee Slaney, FNP
• Makena Slater, RN, BSN
• Michelle Slattery
• John-David Slaugh

• Durable Medical Equipment & Medical Supplies in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.