Organization Active NPI

Rocky Mountain Health and Back Center, P.C.

  • General Practice Physician
  • Northglenn, CO
National Provider Identifier
1407153034
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
32837 Issued in CO
Legal business name
ROCKY MOUNTAIN HEALTH AND BACK CENTER, P.C.
Practice address
2000 W 120TH Ave
Suite 5
Northglenn, CO 80234-2470
Phone
(303) 254-8700
Fax
(303) 254-8873
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Dr. Susan Lisa Santilli, M.D.
Title
Owner
Phone
(303) 254-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 32837 CO Primary

Addresses

Primary practice location

2000 W 120TH Ave
Suite 5
Northglenn, CO 80234-2470

Mailing address

2000 W 120TH Ave
Suite 5
Northglenn, CO 80234-2470
Phone (303) 254-8700

National Provider Directory

National Provider Directory

Locations

2000 W 120th Ave
Ste 5
Westminster, CO 80234
Phone (303) 254-8700

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1407153034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 120TH AVE",
            "address_2": "SUITE 5",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342470",
            "telephone_number": "303-254-8700",
            "fax_number": "303-254-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 120TH AVE",
            "address_2": "SUITE 5",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342470",
            "telephone_number": "303-254-8700",
            "fax_number": "303-254-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HEALTH AND BACK CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-254-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "32837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

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