NPIMap

Organization Active NPI

Dino-Peds Management Group

  • Pediatric Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1386924769
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP990086 Issued in CO
Legal business name
DINO-PEDS MANAGEMENT GROUP
Practice address
1190 Bookcliff Ave
#104
Grand Junction, CO 81501-8133
Phone
(970) 242-7060
Fax
(970) 242-6198
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mrs. Crystal Cameron
Title
Office Manager
Phone
(970) 242-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X NP990086 CO Primary

Addresses

Primary practice location

1190 Bookcliff Ave
#104
Grand Junction, CO 81501-8133

Mailing address

1190 Bookcliff Ave
#104
Grand Junction, CO 81501-8133
Phone (970) 242-7060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1386924769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "address_2": "#104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-242-7060",
            "fax_number": "970-242-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "address_2": "#104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-242-7060",
            "fax_number": "970-242-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINO-PEDS MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-242-7060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "NP990086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.