Active NPI
Monte Vista Family Practice
- Family Medicine Physician
- Monte Vista, CO
National Provider Identifier
1417935438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MONTE VISTA FAMILY PRACTICE
- Practice address
- 103 Chico CT
Monte Vista, CO 81144-1065 - Phone
- (719) 852-9400
- NPI assigned
- Jan 9, 2006
- 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
- Dr. Mark David Pinkerton, MD
- Title
- MD
- Phone
- (719) 852-9400
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
103 Chico CT
Monte Vista, CO 81144-1065
Mailing address
103 Chico CT
Monte Vista, CO 81144-1065
Phone (719) 852-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18959253 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
103 Chico Ct
Monte Vista, CO 81144
Phone (719) 589-8194
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Cedarville, OH
- NPI 1437138328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1417935438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CHICO CT",
"city": "MONTE VISTA",
"state": "CO",
"postal_code": "811441065",
"telephone_number": "719-852-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CHICO CT",
"city": "MONTE VISTA",
"state": "CO",
"postal_code": "811441065",
"telephone_number": "719-852-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTE VISTA FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "PINKERTON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "719-852-9400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18959253",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monte Vista, CO
- Mark J Mills, D.D.S.
- Monte Vista Community Ambulance Service
- Monte Vista Community Ambulance Service
- Monte Vista Estates, LLC
- Monte Vista Eye Care Center Inc.
- Monte Vista Investors, LLC (Legacy at Monte Vista)
- MVPS LLC
- MVPS LLC (Jacks Market Pharmacy)
- Janice Janae Naranjo, LPC
- Michael John Noonan, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.