NPIMap

Organization Active NPI

Rocky Mountain Cosmetic & Reconstructive Surgery Assoc, P.C.

  • Specialist
  • Wheat Ridge, CO
National Provider Identifier
1245473586
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROCKY MOUNTAIN COSMETIC & RECONSTRUCTIVE SURGERY ASSOC, P.C.
Practice address
3280 Wadsworth Blvd
Suite 100
Wheat Ridge, CO 80033-4628
Phone
(303) 985-3303
Fax
(303) 232-3304
NPI assigned
Apr 16, 2009
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Virginia L Liljestrand, MA
Title
Office Manager
Phone
(303) 985-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3280 Wadsworth Blvd
Suite 100
Wheat Ridge, CO 80033-4628

Mailing address

3280 Wadsworth Blvd
Suite 100
Wheat Ridge, CO 80033-4628
Phone (303) 985-3303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1245473586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 WADSWORTH BLVD",
            "address_2": "SUITE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334628",
            "telephone_number": "303-985-3303",
            "fax_number": "303-232-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WADSWORTH BLVD",
            "address_2": "SUITE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334628",
            "telephone_number": "303-985-3303",
            "fax_number": "303-232-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN COSMETIC & RECONSTRUCTIVE SURGERY ASSOC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "LILJESTRAND",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-985-3303",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.