Organization Active NPI

Orthopaedic Associates of Aspen and Glenwood

  • Durable Medical Equipment & Medical Supplies
  • Basalt, CO
National Provider Identifier
1376711135
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOPAEDIC ASSOCIATES OF ASPEN AND GLENWOOD
Practice address
1450 E Valley Rd
Ste 201
Basalt, CO 81621-8304
Phone
(970) 927-8611
Fax
(970) 927-8633
NPI assigned
Feb 14, 2008
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPAEDIC ASSOCAITES OF ASPEN AND GLENWOODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Timothy P. Burns
Title
Execitove Director
Phone
(970) 300-9678

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Specialist 174400000X NU

Addresses

Primary practice location

1450 E Valley Rd
Ste 201
Basalt, CO 81621-8304

Mailing address

1450 E Valley Rd
Ste 201
Basalt, CO 81621-8304
Phone (970) 927-8611

Other identifiers 1

IdentifierTypeStateIssuer
04007282MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1376711135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "STE 201",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "970-927-8611",
            "fax_number": "970-927-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "STE 201",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "970-927-8611",
            "fax_number": "970-927-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF ASPEN AND GLENWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC ASSOCAITES OF ASPEN AND GLENWOOD",
        "enumeration_date": "2008-02-14",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECITOVE DIRECTOR",
        "authorized_official_telephone_number": "970-300-9678"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007282",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.