Active NPI
Logan Christiansen, DPM
- Podiatrist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD.0000939
- Practice address
- 7251 W 20TH St Unit N
Greeley, CO 80634-4626 - Phone
- (303) 449-2000
- Fax
- (303) 449-9475
- NPI assigned
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 41000438A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD.0000939 | CO | |
| Podiatrist | 213E00000X | POD.0000939 | CO | Primary |
Addresses
Primary practice location
7251 W 20TH St Unit N
Greeley, CO 80634-4626
Mailing address
1400 28TH St Ste 2
Boulder, CO 80303-1096
Phone (303) 449-2000
Other practice location 1
1400 28th St Ste 2
Boulder, CO 80303-1096
Phone (303) 449-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7251 W 20TH St
Unit N
Greeley, CO 80634-4626
Phone (303) 449-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 31 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Care of Boulder County | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Care of Boulder County | Podiatrist | Past | Accepting new patients |
Locations
1400 28th St
Ste 2
Boulder, CO 80303
Phone (303) 449-2000
7251 W 20th St
Unit N1
Greeley, CO 80634
Phone (303) 449-2000
7251 W 20th St
Unit N
Greeley, CO 80634
Phone (303) 444-4141
Interoperability endpoints
- lchristiansen1143089@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Boulder, CO
- NPI 1376239293
-
dba Foot & Ankle Care of Boulder County
- Foot & Ankle Surgery Podiatrist
- Greeley, CO
- NPI 1538855457
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1780183145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1467033134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 28TH ST STE 2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031096",
"telephone_number": "303-449-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7251 W 20TH ST UNIT N",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344626",
"telephone_number": "303-449-2000",
"fax_number": "303-449-9475"
}
],
"practiceLocations": [
{
"address_1": "1400 28th St Ste 2",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803031096",
"country_code": "US",
"telephone_number": "303-449-2000",
"fax_number": "303-449-9475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "LOGAN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "41000438A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "POD.0000939",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CO",
"license": "POD.0000939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.