NPIMap

Organization Active NPI

Vail-Summit Orthopaedics PC

Doing business as Vail Summit Orthopaedics and Neurosurgery

  • Prosthetic/Orthotic Supplier
  • Edwards, CO
National Provider Identifier
1407052327
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
VAIL-SUMMIT ORTHOPAEDICS PC
Doing business as
Vail Summit Orthopaedics and Neurosurgery
Practice address
1140 Edwards Village Blvd Ste B-105
Edwards, CO 81632-5525
Phone
(970) 569-3240
Fax
(970) 569-3260
NPI assigned
Jun 26, 2007
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VAIL-SUMMIT ORTHOPAEDICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Colleen A Kinlund
Title
Coo
Phone
(970) 477-4456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

1140 Edwards Village Blvd Ste B-105
Edwards, CO 81632-5525

Mailing address

2472 Patterson Rd Unit 8
Grand Junction, CO 81505-1100
Phone (970) 241-0202

Other names 1

  • Vail Summit Orthopaedics and Neurosurgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050018 CO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4688564461 Practice locations: Edwards, CO

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Vail-Summit Orthopaedics PC18 organizations share this tax ID, including this one
Part of
Vail-Summit Orthopaedics PC

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1407052327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 PATTERSON RD UNIT 8",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051100",
            "telephone_number": "970-241-0202",
            "fax_number": "970-245-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD STE B-105",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325525",
            "telephone_number": "970-569-3240",
            "fax_number": "970-569-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL-SUMMIT ORTHOPAEDICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAIL-SUMMIT ORTHOPAEDICS PC",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "KINLUND",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "970-477-4456"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vail Summit Orthopaedics and Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.

Verify at the official NPI Registry.