Organization Active NPI

Life Orthotics

  • Oxygen Equipment & Supplies (DME)
  • Lone Tree, CO
National Provider Identifier
1437343142
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
LIFE ORTHOTICS
Practice address
9220 Kimmer Dr Ste 270a
Lone Tree, CO 80124-2878
Phone
(303) 928-1520
Fax
(720) 294-0170
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Ammie J Jaggars, CDMENPI 1023253341
Title
Owner
Phone
(303) 928-1520

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

9220 Kimmer Dr Ste 270a
Lone Tree, CO 80124-2878

Mailing address

9220 Kimmer Dr Ste 270a
Lone Tree, CO 80124-2878
Phone (303) 928-1520

Other practice location 1

8200 S Quebec St Ste A3267
Centennial, CO 80112
Phone (832) 881-8856

Other identifiers 1

IdentifierTypeStateIssuer
473593889MedicaidCO

National Provider Directory

National Provider Directory

Locations

8200 S Quebec St
Ste A3267
Centennial, CO 80112
Phone (832) 881-8856

9220 Kimmer Dr
Ste 270A
Lone Tree, CO 80124
Phone (303) 928-1520

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1437343142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 KIMMER DR STE 270A",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242878",
            "telephone_number": "303-928-1520",
            "fax_number": "720-294-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 KIMMER DR STE 270A",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242878",
            "telephone_number": "303-928-1520",
            "fax_number": "720-294-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 S Quebec St Ste A3267",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "832-881-8856",
            "fax_number": "720-294-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "JAGGARS",
        "authorized_official_first_name": "AMMIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-928-1520",
        "authorized_official_credential": "CDME"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473593889",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.