NPIMap

Organization Active NPI

Colorado Otolaryngology Associates, LLC

Doing business as Colorado ENT & Allergy

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1134726557
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC
Doing business as
Colorado ENT & Allergy
Practice address
1235 Lake Plaza Dr Ste 218
Colorado Springs, CO 80906-3556
Phone
(719) 867-7800
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Kevin Watson
Title
Chief Executive Officer
Phone
(719) 867-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1235 Lake Plaza Dr Ste 218
Colorado Springs, CO 80906-3556

Mailing address

PO Box 9190
Colorado Springs, CO 80932-0190

Other names 1

  • Colorado ENT & Allergy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado ENT Allergy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6031 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 484-8626

3595 E Spaulding Ave
Ste B
Pueblo, CO 81008
Phone (719) 867-7800

Practitioners & affiliated clinicians

Practitioners 2

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1134726557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809320190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 218",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063556",
            "telephone_number": "719-867-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "719-867-7800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado ENT & Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.