Organization Active NPI

High Plains Foot and Ankle Clinic

  • Podiatric Clinic/Center
  • Fort Morgan, CO
National Provider Identifier
1366650640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
506 Issued in CO
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

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
Mr. Lorin S Brandon, DPM
Title
Owner
Phone
(970) 542-0221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01005065MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.