NPIMap

Organization Active NPI

North Colorado Spine Center, LLC

Doing business as North Colorado Spine & Orthopaedics

  • Orthopaedic Surgery Physician
  • Greeley, CO
National Provider Identifier
1124225800
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NORTH COLORADO SPINE CENTER, LLC
Doing business as
North Colorado Spine & Orthopaedics
Practice address
6200 W 9TH St Unit 1B
Greeley, CO 80634-4462
Phone
(970) 353-5959
Fax
(970) 353-5967
NPI assigned
Jun 27, 2007
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Scott Dhupar, M.D.NPI 1942289491
Title
President
Phone
(970) 353-5959

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU

Addresses

Primary practice location

6200 W 9TH St Unit 1B
Greeley, CO 80634-4462

Mailing address

1624 17TH Ave
Greeley, CO 80631-5129
Phone (970) 353-5959

Other names 1

  • North Colorado Spine & Orthopaedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070822000536 CO Part B Supplier - Clinic/Group Practice 9133211188 Receives reassigned benefits from 8 practitioners
Practice locations: Greeley, CO
O20100930024353 CO DME Supplier - Physician - General Practice 9133211188 Practice locations: Greeley, CO

National Provider Directory

National Provider Directory

Locations

6200 W 9th St
Unit 1B
Greeley, CO 80634
Phone (970) 353-5959

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1124225800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315129",
            "telephone_number": "970-353-5959",
            "fax_number": "970-353-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W 9TH ST UNIT 1B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344462",
            "telephone_number": "970-353-5959",
            "fax_number": "970-353-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COLORADO SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "DHUPAR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-353-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Colorado Spine & Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.

Verify at the official NPI Registry.