NPIMap

Organization Active NPI

Premier Orthopedics

  • Orthopaedic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1295783876
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PREMIER ORTHOPEDICS
Practice address
3920 N Union Blvd
Ste 330
Colorado Springs, CO 80907-4916
Phone
(719) 570-7272
Fax
(719) 570-9030
NPI assigned
May 5, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. David L. Walden, M.D.NPI 1811945553
Title
President
Phone
(719) 570-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

3920 N Union Blvd
Ste 330
Colorado Springs, CO 80907-4916

Mailing address

3920 N Union Blvd
Ste 330
Colorado Springs, CO 80907-4916
Phone (719) 570-7272

Other identifiers 2

IdentifierTypeStateIssuer
04009056MedicaidCO
PRJ3008OtherCOBLUE SHIELD GROUP ID

National Provider Directory

National Provider Directory

Locations

4105 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 473-3332

Practitioners & affiliated clinicians

Practitioners 6

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1295783876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD",
            "address_2": "STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074916",
            "telephone_number": "719-570-7272",
            "fax_number": "719-570-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD",
            "address_2": "STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074916",
            "telephone_number": "719-570-7272",
            "fax_number": "719-570-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-570-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04009056",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID",
            "identifier": "PRJ3008",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 30, 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.