Organization Active NPI

Nicholas L Hugentobler PC

  • Durable Medical Equipment & Medical Supplies
  • Loveland, CO
National Provider Identifier
1194217422
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
14691 Issued in CO
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, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
91853052MedicaidCO

Other names 1

  • Animas Foot & Ankle Doing business as

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.

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.

Verify at the official NPI Registry.