Active NPI
Pine Creek Imaging, LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Colorado Springs, CO
National Provider Identifier
1437493848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- PINE CREEK IMAGING, LLC
- Practice address
- 9480 Briar Village PT Ste 300
Colorado Springs, CO 80920-7923 - Phone
- (719) 599-0670
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- 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
- Mrs. LL Pickle
- Title
- Manager
- Phone
- (719) 599-0670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | Primary |
Addresses
Primary practice location
9480 Briar Village PT Ste 300
Colorado Springs, CO 80920-7923
Mailing address
9480 Briar Village PT., Suite 300
Colorado Springs, CO 80920
National Provider Directory
National Provider DirectoryLocations
9480 Briar Village Pt
Ste 300
Colorado Springs, CO 80920
Phone (719) 534-9445
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthodontics
- Colorado Springs, CO
- NPI 1336106962
-
- Oral and Maxillofacial Pathology Dentistry
- Colorado Springs, CO
- NPI 1295740603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1437493848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9480 BRIAR VILLAGE PT., SUITE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 BRIAR VILLAGE PT STE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207923",
"telephone_number": "719-599-0670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE CREEK IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "PICKLE",
"authorized_official_first_name": "LL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "719-599-0670",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.