Active NPI
Orthopaedic Associates of Aspen and Glenwood
- Durable Medical Equipment & Medical Supplies
- Basalt, CO
National Provider Identifier
1376711135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- ORTHOPAEDIC ASSOCAITES OF ASPEN AND GLENWOOD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04007282 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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.