Active NPI
High Plains Foot and Ankle Clinic
- Podiatric Clinic/Center
- Fort Morgan, CO
National Provider Identifier
1366650640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 506
- Legal business name
- HIGH PLAINS FOOT AND ANKLE CLINIC
- Practice address
- 411 Main St Ste 202
Fort Morgan, CO 80701-2136 - Phone
- (970) 542-0221
- Fax
- (970) 542-9585
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lorin S Brandon, DPM
- Title
- Owner
- Phone
- (970) 542-0221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 506 | CO | Primary |
Addresses
Primary practice location
411 Main St Ste 202
Fort Morgan, CO 80701-2136
Mailing address
411 Main St Ste 202
Fort Morgan, CO 80701-2136
Phone (970) 542-0221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01005065 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
411 Main St
Ste 202
Fort Morgan, CO 80701
Phone (970) 542-0221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366650640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 MAIN ST STE 202",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807012136",
"telephone_number": "970-542-0221",
"fax_number": "970-542-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MAIN ST STE 202",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807012136",
"telephone_number": "970-542-0221",
"fax_number": "970-542-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH PLAINS FOOT AND ANKLE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRANDON",
"authorized_official_first_name": "LORIN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-542-0221",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "CO",
"license": "506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01005065",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Morgan, 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.