NPIMap

Organization Active NPI

Community Specialty Group LLC

Doing business as Grand Valley Interventional Pain Management Clinic

  • Specialist
  • Grand JCT, CO
National Provider Identifier
1356066765
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMMUNITY SPECIALTY GROUP LLC
Doing business as
Grand Valley Interventional Pain Management Clinic
Grand Valley Specialty Care
Grand Valley Thoracic/Vascular
Practice address
2373 G Rd Ste 160
Grand JCT, CO 81505-1003
Phone
(970) 242-7292
Fax
(970) 644-3915
NPI assigned
Oct 7, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Christian Thomas
Title
President/Ceo
Phone
(970) 644-3011

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

2373 G Rd Ste 160
Grand JCT, CO 81505-1003

Mailing address

PO Box 1727
Grand JCT, CO 81502-1727
Phone (970) 242-7292

Other practice location 1

2373 G Rd Ste 160
Grand Jct, CO 81505-1003
Phone (970) 644-3250

Other names 3

  • Grand Valley Interventional Pain Management Clinic Doing business as
  • Grand Valley Specialty Care Doing business as
  • Grand Valley Thoracic/Vascular Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Specialty Group LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1356066765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-242-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 160",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815051003",
            "telephone_number": "970-242-7292",
            "fax_number": "970-644-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 G Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Grand Jct",
            "state": "CO",
            "postal_code": "815051003",
            "country_code": "US",
            "telephone_number": "970-644-3250",
            "fax_number": "970-644-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "970-644-3011"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Valley Interventional Pain Management Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Valley Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Valley Thoracic/Vascular",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Valley Thoracic/Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand JCT, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.