Organization Active NPI

Richard a Grossman

  • Specialist
  • Durango, CO
National Provider Identifier
1194989913
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20447 Issued in CO
Legal business name
RICHARD A GROSSMAN
Practice address
1 Mercado St Ste 105
Durango, CO 81301-7311
Phone
(970) 259-7679
Fax
(970) 382-0784
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Ms. Melody A Warren
Title
Biller
Phone
(970) 259-7679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20447 CO Primary

Addresses

Primary practice location

1 Mercado St Ste 105
Durango, CO 81301-7311

Mailing address

PO Box 2674
Durango, CO 81302-2674
Phone (970) 259-7679

Other identifiers 1

IdentifierTypeStateIssuer
04016457MedicaidCO

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1194989913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2674",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813022674",
            "telephone_number": "970-259-7679",
            "fax_number": "970-382-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 105",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017311",
            "telephone_number": "970-259-7679",
            "fax_number": "970-382-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A GROSSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "970-259-7679",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "20447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04016457",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.