Rocky Mountain Pain Relief Center

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

40660 Issued in CO

Legal business name

ROCKY MOUNTAIN PAIN RELIEF CENTER

Practice address

630 15TH Ave
Suite 104
Longmont, CO 80501-2700

Phone

(303) 776-5700

Fax

(303) 776-5701

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Dewey Thacker Jr., M.D.NPI 1962564476

Title

President

Phone

(303) 776-5700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Dewey Thacker Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
  • NPI 1962564476
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1316060999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805440926",
            "telephone_number": "303-776-5700",
            "fax_number": "303-776-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 15TH AVE",
            "address_2": "SUITE 104",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012700",
            "telephone_number": "303-776-5700",
            "fax_number": "303-776-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEWEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-776-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "40660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Infusion LLC
• Rocky Mountain Medical Equipment LLC
• Rocky Mountain Medical Equipment LLC
• Rocky Mountain Medical Imaging, PC
• Rocky Mountain Music Therapy
• Rocky Mountain Psychiatric Services LLC
• Rocky Mountain Rehab Medicine LLC
• Rocky Mountain Retina Associates, Inc.
• Micaela Rodas, DMD
• Deborah Rode, OTR/L

• Interventional Pain Medicine Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Interventional Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.