NPIMap

Organization Active NPI

Dod

  • Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1336119403
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
78-82 Issued in NM
Legal business name
DOD
Practice address
7500 Cochrane Cir
Ft.Carson
Colorado Springs, CO 80913-7692
Phone
(710) 524-4289
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yashoda BT Sagar, M.D
Title
Medical Officer
Phone
(710) 524-4289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 78-82 NM Primary

Addresses

Primary practice location

7500 Cochrane Cir
Ft.Carson
Colorado Springs, CO 80913-7692

Mailing address

710 Herbglen CT
Colorado Springs, CO 80906-7692
Phone (710) 540-9745

Other names 1

  • evavns army community hospital Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336119403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HERBGLEN CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067692",
            "telephone_number": "710-540-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 COCHRANE CIR",
            "address_2": "FT.CARSON",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809137692",
            "telephone_number": "710-524-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAGAR",
        "authorized_official_first_name": "YASHODA",
        "authorized_official_middle_name": "BT",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "710-524-4289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "78-82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "evavns army community hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.