Active NPI
Portercare Adventist Health System
- Orthopaedic Surgery of the Spine Physician
- Englewood, CO
National Provider Identifier
1114675683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 145 Inverness Dr E Ste 100
Englewood, CO 80112-5172 - Phone
- (303) 697-7463
- Fax
- (303) 783-1200
- NPI assigned
- Mar 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
145 Inverness Dr E Ste 100
Englewood, CO 80112-5172
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names 1
- Colorado Spine Partners
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1861476400
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- Denver, CO
- NPI 1912469370
-
- Hospitalist Physician
- Durango, CO
- NPI 1851381255
-
- Professional Counselor
- Denver, CO
- NPI 1871843730
-
- Counselor
- Castle Rock, CO
- NPI 1841437183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1114675683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713425",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606774325",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 INVERNESS DR E STE 100",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125172",
"telephone_number": "303-697-7463",
"fax_number": "303-783-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "TACHA",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "303-304-7752",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Spine Partners",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Colorado Spine Partners",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.