Organization Active NPI

Colorado Pain Relief and Wellness Inc

  • Family Medicine Physician
  • Wheat Ridge, CO
National Provider Identifier
1417476235
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CO3083
Legal business name
COLORADO PAIN RELIEF AND WELLNESS INC
Practice address
4990 Kipling St
Ste B-5
Wheat Ridge, CO 80033
Phone
(303) 456-4882
Fax
(303) 456-4875
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Andrew V Solano
Title
Owner
Phone
(303) 456-4882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CO3083 Primary

Addresses

Primary practice location

4990 Kipling St
Ste B-5
Wheat Ridge, CO 80033

Mailing address

4990 Kipling St
Ste B-5
Wheat Ridge, CO 80033
Phone (303) 456-4882

National Provider Directory

National Provider Directory

Locations

4990 Kipling St
Ste B5
Wheat Ridge, CO 80033
Phone (303) 456-4882

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1417476235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST",
            "address_2": "STE B-5",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-456-4882",
            "fax_number": "303-456-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST",
            "address_2": "STE B-5",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-456-4882",
            "fax_number": "303-456-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PAIN RELIEF AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-456-4882"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "CO3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.