Organization Active NPI

Arthritis & Rheumatology Clinic of Northern Colorado

  • Specialist
  • Fort Collins, CO
National Provider Identifier
1073702411
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40814 Issued in CO
Legal business name
ARTHRITIS & RHEUMATOLOGY CLINIC OF NORTHERN COLORADO
Practice address
2121 E Harmony Rd Ste 361
Fort Collins, CO 80528-3404
Phone
(970) 267-9799
Fax
(970) 267-9559
NPI assigned
Oct 22, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Michael S Thakor, MDNPI 1629045364
Title
Owner
Phone
(970) 267-9799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40814 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Ste 361
Fort Collins, CO 80528-3404

Mailing address

2121 E Harmony Rd Ste 361
Fort Collins, CO 80528-3404
Phone (970) 267-9799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001231 CO Part B Supplier - Clinic/Group Practice 0840189213 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Collins, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2118426Arthritis and Rheumatology Clinic2121 East Harmony Road, Fort Collins, CO 80528Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Locations

2121 E Harmony Rd
Unit 361
Fort Collins, CO 80528
Phone (970) 267-9799

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1073702411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD STE 361",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-267-9799",
            "fax_number": "970-267-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD STE 361",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-267-9799",
            "fax_number": "970-267-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS & RHEUMATOLOGY CLINIC OF NORTHERN COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "THAKOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-267-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "40814",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.