Vivos Provider Network, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

VIVOS PROVIDER NETWORK, LLC

Practice address

9135 Ridgeline Blvd Ste 100
Highlands Ranch, CO 80129-2392

Phone

(440) 714-7149

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Brad Amman

Title

Director

Phone

(720) 399-9322

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1285497503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 SOUTHPARK PLZ STE 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204506",
            "telephone_number": "720-399-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 RIDGELINE BLVD STE 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292392",
            "telephone_number": "440-714-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVOS PROVIDER NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "AMMAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-399-9322"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Villani, NP-C
• Kaitlyn Villars, DPT
• Vioneth C. Villatoro-Ramirez, LPC
• Vital Motion Physical Therapy, LLC
• Vitality Chiropractic, P.C.
• Vivos Therapuetics, Inc.
• Larry Vo, NP-C
• Vsi Providers PLLC (Vivos Highlands Ranch)
• W. J. Garehime P C
• W&P LLC

• Customized Equipment (DME) in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Customized Equipment (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.