NPIMap

Organization Active NPI

Blue Sky Pain Treatment Center PC

  • Acupuncturist
  • Lakewood, CO
National Provider Identifier
1275728917
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
43062 Issued in CO
Legal business name
BLUE SKY PAIN TREATMENT CENTER PC
Practice address
1360 S Wadsworth Blvd
#208
Lakewood, CO 80232
Phone
(303) 980-1222
Fax
(303) 980-1119
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Kelly Peter Letourneau, DONPI 1285629741
Title
Medical Director
Phone
(303) 980-1222

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 43062 CO Primary

Addresses

Primary practice location

1360 S Wadsworth Blvd
#208
Lakewood, CO 80232

Mailing address

1360 S Wadsworth Blvd
#208
Lakewood, CO 80232
Phone (303) 980-1222

Other names 1

  • Blue Sky Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1360 S Wadsworth Blvd
Ste 208
Lakewood, CO 80232
Phone (303) 980-1222

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1275728917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S WADSWORTH BLVD",
            "address_2": "#208",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80232",
            "telephone_number": "303-980-1222",
            "fax_number": "303-980-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S WADSWORTH BLVD",
            "address_2": "#208",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80232",
            "telephone_number": "303-980-1222",
            "fax_number": "303-980-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY PAIN TREATMENT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LETOURNEAU",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-980-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "43062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.