NPIMap

Organization Active NPI

Colorado West Otolaryngologists PC

Doing business as ReGenesis Plastic Surgery & Dermatology

  • Otolaryngology/Facial Plastic Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1306831250
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
COLORADO WEST OTOLARYNGOLOGISTS PC
Doing business as
ReGenesis Plastic Surgery & Dermatology
ReGenesis Plastic Surgery & Skin Care Center
Practice address
2515 Foresight Cir Unit 200
Grand Junction, CO 81505-1156
Phone
(970) 245-2400
Fax
(970) 242-9092
NPI assigned
Sep 16, 2005
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Sandy Valentine
Title
Credentialing
Phone
(970) 245-2400

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X Primary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2515 Foresight Cir Unit 200
Grand Junction, CO 81505-1156

Mailing address

2515 Foresight Cir Unit 200
Grand Junction, CO 81505-1156
Phone (970) 245-2400

Other names 2

  • ReGenesis Plastic Surgery & Dermatology Doing business as
  • ReGenesis Plastic Surgery & Skin Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000724 CO Part B Supplier - Clinic/Group Practice 1658363981 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
Practice locations: Grand Junction, CO; Montrose, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2187481Regenesis Plastic Surgery and Dermatology2515 Foresight Circle, Suite 100, Grand Junction, CO 81505ComplianceApr 26, 2027

National Provider Directory

National Provider Directory

Locations

425 Patterson Rd
#50
Grand JCT, CO 81506

2515 Foresight Cir
Unit 100
Grand Junction, CO 81505
Phone (970) 242-8177

2515 Foresight Cir
Unit 200
Grand Junction, CO 81505
Phone (970) 245-2400

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1306831250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR UNIT 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051156",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR UNIT 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051156",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO WEST OTOLARYNGOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "970-245-2400"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReGenesis Plastic Surgery & Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReGenesis Plastic Surgery & Skin Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReGenesis Plastic Surgery & Skin Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.