Organization Active NPI

Monte Vista Family Practice

  • Family Medicine Physician
  • Monte Vista, CO
National Provider Identifier
1417935438
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Mark David Pinkerton, MDNPI 1437138328
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
18959253MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.