Organization Active NPI

Neuropathy Center of Boulder County, LLC

  • Podiatrist
  • Louisville, CO
National Provider Identifier
1205368552
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
526 Issued in CO
Legal business name
NEUROPATHY CENTER OF BOULDER COUNTY, LLC
Practice address
864 W South Boulder Rd
Suite 100
Louisville, CO 80027-2410
Phone
(720) 242-9844
NPI assigned
Mar 28, 2017
Organization subpart
Yes
Parent organization
BOULDER COUNTY FOOT & ANKLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. John JachimiakNPI 1043227390
Title
President
Phone
(303) 666-1465

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 526 CO Primary

Addresses

Primary practice location

864 W South Boulder Rd
Suite 100
Louisville, CO 80027-2410

Mailing address

864 W South Boulder Rd
Suite 100
Louisville, CO 80027-2410
Phone (720) 242-9844

National Provider Directory

National Provider Directory
Part of
Boulder County Foot Ankle PC

Locations

864 W South Boulder Rd
Unit 100
Louisville, CO 80027
Phone (303) 938-1161

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.

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": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1205368552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 W SOUTH BOULDER RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272410",
            "telephone_number": "720-242-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 W SOUTH BOULDER RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272410",
            "telephone_number": "720-242-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY CENTER OF BOULDER COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER COUNTY FOOT & ANKLE",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "JACHIMIAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-666-1465",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.