Organization Active NPI

Mountain Vein Care Professional LLC

  • Medical Specialty Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1154083459
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MOUNTAIN VEIN CARE PROFESSIONAL LLC
Practice address
2515 Foresight Cir
Grand Junction, CO 81505-1018
Phone
(970) 766-8346
Fax
(888) 979-8915
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Carl F Dando, MDNPI 1184666323
Title
Owner
Phone
(970) 471-3406

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2515 Foresight Cir
Grand Junction, CO 81505-1018

Mailing address

PO Box 450
Edwards, CO 81632-0450
Phone (970) 766-8346

Other practice location 1

2643 Patterson Rd Ste 503
Grand Junction, CO 81506-1937
Phone (970) 766-8346

National Provider Directory

National Provider Directory
Tax ID family
Mountain Vein Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2515 Foresight Cir
Grand Junction, CO 81505
Phone (970) 766-8346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1154083459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816320450",
            "telephone_number": "970-766-8346",
            "fax_number": "888-979-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051018",
            "telephone_number": "970-766-8346",
            "fax_number": "888-979-8915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2643 Patterson Rd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815061937",
            "country_code": "US",
            "telephone_number": "970-766-8346",
            "fax_number": "888-979-8915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN VEIN CARE PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "DANDO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-471-3406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.