Organization Active NPI

Colorado Springs Regenerative Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Co SPGS, CO
National Provider Identifier
1346730967
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
COLORADO SPRINGS REGENERATIVE MEDICINE INC
Practice address
1465 Kelly Johnson Blvd Ste 300
Co SPGS, CO 80920-3947
Phone
(719) 308-2314
Fax
(719) 694-0211
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Dean Jones, DCNPI 1366855371
Title
Owner
Phone
(719) 308-2314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1465 Kelly Johnson Blvd Ste 300
Co SPGS, CO 80920-3947

Mailing address

1465 Kelly Johnson Blvd Ste 300
Co SPGS, CO 80920-3947
Phone (719) 308-2314

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
06D2265669Colorado Springs Regenerative Medicine1465 Kelly Johnson Blvd, Suite 300, Colorado Springs, CO 80920Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1346730967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD STE 300",
            "city": "CO SPGS",
            "state": "CO",
            "postal_code": "809203947",
            "telephone_number": "719-308-2314",
            "fax_number": "719-694-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD STE 300",
            "city": "CO SPGS",
            "state": "CO",
            "postal_code": "809203947",
            "telephone_number": "719-308-2314",
            "fax_number": "719-694-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS REGENERATIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-308-2314",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Co SPGS, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.