Active NPI
Durango Ultrasound
- Diagnostic Ultrasound Physician
- Durango, CO
National Provider Identifier
1396333605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- DURANGO ULTRASOUND
- Practice address
- 270 E 8TH Ave Ste 201
Durango, CO 81301-5768 - Phone
- (970) 247-7997
- Fax
- (970) 247-7996
- NPI assigned
- Jan 4, 2021
- Last updated
- Jul 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurel A Campbell, BS, RDMS, RVT
- Title
- Sonographer/Owner
- Phone
- (970) 247-7997
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | NU | Primary | |
| Sonography Radiologic Technologist | 2471S1302X | NU | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X | NU |
Addresses
Primary practice location
270 E 8TH Ave Ste 201
Durango, CO 81301-5768
Mailing address
270 E 8TH Ave Ste 201
Durango, CO 81301-5768
Phone (970) 247-7997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851990493 | Other | INDIVIDUAL NPI | |
| 9000216381 | Medicaid | CO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@durangoultrasound.com | Direct | |
| Direct Messaging Address | info@durangoultrasound.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210308000224 | CO | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4486067386 | Practice locations: Durango, CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Ultrasound Physician
- Durango, CO
- NPI 1851990493
-
- Diagnostic Radiology Physician
- Fredericksburg, VA
- NPI 1497963011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1396333605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E 8TH AVE STE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015768",
"telephone_number": "970-247-7997",
"fax_number": "970-247-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E 8TH AVE STE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015768",
"telephone_number": "970-247-7997",
"fax_number": "970-247-7996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURANGO ULTRASOUND",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-04",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "LAUREL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SONOGRAPHER/OWNER",
"authorized_official_telephone_number": "970-247-7997",
"authorized_official_credential": "BS, RDMS, RVT"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1851990493",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000216381",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@durangoultrasound.com",
"affiliation": "N",
"endpointDescription": "info@durangoultrasound.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "270 E 8th Ave Ste 201",
"city": "Durango",
"state": "CO",
"country_code": "US",
"postal_code": "813015768",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@durangoultrasound.com",
"affiliation": "N",
"endpointDescription": "business contact",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "270 E 8th Ave Ste 201",
"city": "Durango",
"state": "CO",
"country_code": "US",
"postal_code": "813015768",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.