Organization Active NPI

Fort Collins Spine LLC DME

  • Durable Medical Equipment & Medical Supplies
  • Fort Collins, CO
National Provider Identifier
1306239009
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FORT COLLINS SPINE LLC DME
Practice address
2021 Battlecreek Dr
Suite D
Fort Collins, CO 80528-5119
Phone
(505) 440-0363
NPI assigned
Mar 5, 2015
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FORT COLLINS SPINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
John Ray, MDNPI 1346228889
Title
Owner
Phone
(505) 440-0363

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2021 Battlecreek Dr
Suite D
Fort Collins, CO 80528-5119

Mailing address

2021 Battlecreek Dr
Suite D
Fort Collins, CO 80528-5119
Phone (505) 440-0363

National Provider Directory

National Provider Directory
Part of
Fort Collins Spine LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1306239009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 BATTLECREEK DR",
            "address_2": "SUITE D",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285119",
            "telephone_number": "505-440-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 BATTLECREEK DR",
            "address_2": "SUITE D",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285119",
            "telephone_number": "505-440-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS SPINE LLC DME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORT COLLINS SPINE LLC",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-440-0363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.