NPIMap

Organization Active NPI

Mountain Valley Medicine LLC

  • Acupuncturist
  • Delta, CO
National Provider Identifier
1447620034
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002134 Issued in CO
Legal business name
MOUNTAIN VALLEY MEDICINE LLC
Practice address
326 Main St
Suite 200
Delta, CO 81416-1869
Phone
(970) 765-0727
NPI assigned
Sep 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Koko Evans, L.AC,MAOM, DIPL.OM
Title
Owner/Acupuncturist
Phone
(970) 765-0727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 0002134 CO Primary

Addresses

Primary practice location

326 Main St
Suite 200
Delta, CO 81416-1869

Mailing address

PO Box 1152
Mancos, CO 81328-1152
Phone (970) 765-0727

National Provider Directory

National Provider Directory

Locations

326 Main St
Ste 200
Delta, CO 81416
Phone (833) 226-7624

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1447620034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1152",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "813281152",
            "telephone_number": "970-765-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "address_2": "SUITE 200",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161869",
            "telephone_number": "970-765-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KOKO",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "970-765-0727",
        "authorized_official_credential": "L.AC,MAOM, DIPL.OM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.