Organization Active NPI

Dr. Harry J.Anderson,Jr.,M.D.

  • Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1316309891
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21329 Issued in CO
Legal business name
DR. HARRY J.ANDERSON,JR.,M.D.
Practice address
190 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3718
Phone
(719) 576-7337
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Ms. Janiece Carlson
Title
Office Manager
Phone
(719) 576-7921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 21329 CO Primary

Addresses

Primary practice location

190 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3718

Mailing address

190 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3718
Phone (719) 576-7337

National Provider Directory

National Provider Directory

Locations

190 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906
Phone (719) 576-7337

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1316309891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E CHEYENNE MOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063718",
            "telephone_number": "719-576-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E CHEYENNE MOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063718",
            "telephone_number": "719-576-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HARRY J.ANDERSON,JR.,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JANIECE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-576-7921",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "21329",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 24, 2016; 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.