Active NPI
Nicholas L Hugentobler PC
- Durable Medical Equipment & Medical Supplies
- Loveland, CO
National Provider Identifier
1194217422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 14691
- Legal business name
- NICHOLAS L HUGENTOBLER PC
- Doing business as
- Animas Foot & Ankle
- Practice address
- 1440 Boise Ave
Loveland, CO 80538-4214 - Phone
- (970) 278-1440
- Fax
- (970) 776-8067
- NPI assigned
- Jun 1, 2018
- Organization subpart
- Yes
- Parent organization
- NICHOLAS L HUGENTOBLER, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Stevenson
- Title
- Credentialing Specialist
- Phone
- (480) 832-1546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 14691 | CO | Primary |
Addresses
Primary practice location
1440 Boise Ave
Loveland, CO 80538-4214
Mailing address
575 Rivergate Unit 105
Durango, CO 81301-7490
Phone (970) 259-3154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91853052 | Medicaid | CO |
Other names 1
- Animas Foot & Ankle
National Provider Directory
National Provider Directory- Part of
- Nicholas L Hugentobler PC
Locations
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Foot & Ankle Surgery Podiatrist
- Durango, CO
- NPI 1609129626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527811200000",
"number": "1194217422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 RIVERGATE UNIT 105",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017490",
"telephone_number": "970-259-3154",
"fax_number": "970-828-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 BOISE AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384214",
"telephone_number": "970-278-1440",
"fax_number": "970-776-8067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS L HUGENTOBLER PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NICHOLAS L HUGENTOBLER, PC",
"enumeration_date": "2018-06-01",
"last_updated": "2018-06-01",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "480-832-1546"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "14691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91853052",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Animas Foot & Ankle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.