Organization Active NPI

Mountain West Family Practice PC

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1134215346
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38965 Issued in CO
Legal business name
MOUNTAIN WEST FAMILY PRACTICE PC
Practice address
222 S Nevada Ave
Montrose, CO 81401-4234
Phone
(970) 240-4606
Fax
(970) 240-4665
NPI assigned
Oct 5, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Craig C TippingNPI 1861459687
Title
D.O
Phone
(970) 240-4606

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
Family Medicine Physician 207Q00000X 38965 CO Primary

Addresses

Primary practice location

222 S Nevada Ave
Montrose, CO 81401-4234

Mailing address

PO Box 28
Montrose, CO 81402-0028
Phone (970) 240-4606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1134215346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814020028",
            "telephone_number": "970-240-4606",
            "fax_number": "970-240-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014234",
            "telephone_number": "970-240-4606",
            "fax_number": "970-240-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "TIPPING",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "D.O",
        "authorized_official_telephone_number": "970-240-4606"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.