Active NPI
Nadora Urgent Care, LLC
- Urgent Care Clinic/Center
- Greeley, CO
National Provider Identifier
1285462200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- NADORA URGENT CARE, LLC
- Practice address
- 1624 17TH Ave
Greeley, CO 80631-5129 - Phone
- (970) 831-8046
- NPI assigned
- Jul 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott K Dhupar, MD
- Title
- President
- Phone
- (970) 663-3200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1624 17TH Ave
Greeley, CO 80631-5129
Mailing address
4397 Ronald Reagan Blvd
Johnstown, CO 80534-6445
Phone (970) 663-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240828004346 | CO | Part B Supplier - Clinic/Group Practice | 9335688860 |
Receives reassigned benefits from 10 practitioners Practice locations: Greeley, CO |
National Provider Directory
National Provider DirectoryLocations
1624 17th Ave
Greeley, CO 80631
Phone (970) 353-5400
Practitioners & affiliated clinicians
Practitioners 10
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": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1285462200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4397 RONALD REAGAN BLVD",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805346445",
"telephone_number": "970-663-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 17TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806315129",
"telephone_number": "970-831-8046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADORA URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "DHUPAR",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-663-3200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.