Mountainland Pedicatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MOUNTAINLAND PEDICATRICS INC

Practice address

3301 W 144TH Ave Unit 200
Broomfield, CO 80023-9511

Phone

(303) 438-5522

NPI assigned

May 3, 2024

Organization subpart

Yes

Parent organization

MOUNTAINLAND PEDIATRICS INCAs reported in NPPES

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

Authorized official

Name

Ryshell Schrader

Title

Billing Manager

Phone

(303) 412-6091

Specialties & licenses 1

Addresses

Other names 1

• Broomfield Pediatrics Other name

Tax ID family

Mountainland Pediatrics Inc2 organizations share this tax ID, including this one

Part of

Mountainland Pediatrics Inc

Other organizations with this tax ID 1

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

• Mountainland Pediatrics Inc

  • Pediatrics Physician
  • Thornton, CO
  • NPI 1619152576
  NPD tax ID

Locations

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.

• Mountainland Pediatrics PC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1174605489
  NPPES parent name

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1306693643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342024",
            "telephone_number": "303-430-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W 144TH AVE UNIT 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239511",
            "telephone_number": "303-438-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINLAND PEDICATRICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAINLAND PEDIATRICS INC",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "RYSHELL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "303-412-6091"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broomfield Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mountain Dental PC
• Mountain Kids OT LLC
• Mountain Range Chiropractic LLC
• Mountain Sleep Diagnostics, Inc
• Mountainaire Dentistry
• Robyn Mourning, MFTC
• Ashton Mullee, SWC
• Mary Anne Catherine Murphy, O.D.
• Valerie Musgrave
• My Seasons Therapy, LLC

• Pediatrics Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.