Organization Active NPI

Colorado Center for Spine Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Boulder, CO
National Provider Identifier
1326379629
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
42014 Issued in CO
Legal business name
COLORADO CENTER FOR SPINE MEDICINE LLC
Practice address
1155 Alpine Ave
Ste. 280
Boulder, CO 80304-3495
Phone
(303) 444-2955
Fax
(303) 546-6500
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Gregory Norman Arends, M.D.
Title
Owner
Phone
(303) 444-2955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 42014 CO Primary

Addresses

Primary practice location

1155 Alpine Ave
Ste. 280
Boulder, CO 80304-3495

Mailing address

1155 Alpine Ave
Ste. 280
Boulder, CO 80304-3495
Phone (303) 444-2955

National Provider Directory

National Provider Directory

Locations

4820 Riverbend Rd
#2
Boulder, CO 80301
Phone (303) 444-2955

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1326379629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 ALPINE AVE",
            "address_2": "STE. 280",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043495",
            "telephone_number": "303-444-2955",
            "fax_number": "303-546-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ALPINE AVE",
            "address_2": "STE. 280",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043495",
            "telephone_number": "303-444-2955",
            "fax_number": "303-546-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CENTER FOR SPINE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "ARENDS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-444-2955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "42014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.