Organization Active NPI

Wyoming-Colorado-Missouri Surgical, PLLC

  • Surgical Assistant
  • Arvada, CO
National Provider Identifier
1366830721
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
WYOMING-COLORADO-MISSOURI SURGICAL, PLLC
Practice address
6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3951
Phone
(303) 534-0391
Fax
(303) 534-0393
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Michael Janssen, D.O.
Title
Trustee
Phone
(303) 534-0391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X NU Primary

Addresses

Primary practice location

6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3951

Mailing address

6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3951
Phone (303) 534-0391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1366830721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE",
            "address_2": "SUITE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023951",
            "telephone_number": "303-534-0391",
            "fax_number": "303-534-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE",
            "address_2": "SUITE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023951",
            "telephone_number": "303-534-0391",
            "fax_number": "303-534-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING-COLORADO-MISSOURI SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "303-534-0391",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.