NPIMap

Organization Active NPI

A Glenn Shoptaugh MD PC

Doing business as Kids Are Great Pediatrics

  • Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1285877183
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14141 Issued in CO
Legal business name
A GLENN SHOPTAUGH MD PC
Doing business as
Kids Are Great Pediatrics
Practice address
1715 N Weber St
Suite 120
Colorado Springs, CO 80907-7532
Phone
(719) 577-4200
Fax
(719) 442-6595
NPI assigned
Apr 8, 2009
Last updated
Apr 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Dr. Albert Glenn Shoptaugh, M.D.
Title
President
Phone
(719) 577-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 14141 CO Primary

Addresses

Primary practice location

1715 N Weber St
Suite 120
Colorado Springs, CO 80907-7532

Mailing address

1715 N Weber St
Suite 120
Colorado Springs, CO 80907-7532
Phone (719) 577-4200

Other names 1

  • Kids Are Great Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Glenn Shoptaugh MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1715 N Weber St
Ste 120
Colorado Springs, CO 80907
Phone (719) 471-8855

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1285877183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N WEBER ST",
            "address_2": "SUITE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077532",
            "telephone_number": "719-577-4200",
            "fax_number": "719-442-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N WEBER ST",
            "address_2": "SUITE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077532",
            "telephone_number": "719-577-4200",
            "fax_number": "719-442-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GLENN SHOPTAUGH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "SHOPTAUGH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-577-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "14141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Are Great Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.