Pikes Peak Spine & Joint LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PIKES PEAK SPINE & JOINT LLC

Practice address

3604 Galley Rd Ste 202
Colorado Springs, CO 80909-4301

Phone

(719) 602-3394

Fax

(719) 602-3397

NPI assigned

Jun 18, 2019

Last updated

Sep 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry C Latch, MDNPI 1114907169

Title

Owner

Phone

(210) 615-7480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Charles Latch, M.D.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1114907169

  CO

  Medicare reassignment Authorized official
• Kailey Ellen Curless, LMT

  • Massage Therapist
  • Pueblo, CO
  • NPI 1376215434
  NPD (past)
• Theodore W Davis, D.C.

  • Chiropractor
  • Pueblo, CO
  • NPI 1033400510
  NPD (past)
• Jorden Michael Fields, D.C.

  • Chiropractor
  • Pueblo, CO
  • NPI 1538847462
  NPD (past)
• Nylea Lace Gilcreast, LMT

  • Massage Therapist
  • Pueblo, CO
  • NPI 1407359177

  Single Specialty

  NPD (past)
• Dieudonne Antoine Moise-Birch, DC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1871123950
  NPD (past)
• Steven Roger Mooring, D.C., N.M.D.

  • Nutrition Chiropractor
  • Pueblo, CO
  • NPI 1508878463
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1346800737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094301",
            "telephone_number": "719-602-3394",
            "fax_number": "719-602-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094301",
            "telephone_number": "719-602-3394",
            "fax_number": "719-602-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK SPINE & JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "LATCH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-615-7480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pikes Peak Psychotherapy, Inc.
• Pikes Peak Radiation Oncology P.C.
• Pikes Peak Reflux and Weight Loss Surgery PLLC
• Pikes Peak Seniorcare, Inc.
• Pikes Peak SNF Healthcare, LLC (Pikes Peak Post Acute)
• Pikes Peak Stuttering Center
• Pikes Peak Urology PC
• Pikes Peak Visiting Providers LLC
• Andrea K Pikkula, OD
• Katrina C Pilar, RN

• Interventional Pain Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, 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 Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.