NPIMap

Organization Active NPI

Panorama Orthopedics & Spine Center, PC

  • Clinic/Center
  • Greenwood Village, CO
National Provider Identifier
1467076117
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Practice address
5570 DTC Pkwy Ste 250
Greenwood Village, CO 80111-3187
Phone
(303) 233-1223
NPI assigned
May 28, 2020
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PANORAMA ORTHOPEDICS & SPINE CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Mark J ConklinNPI 1255393047
Title
President
Phone
(303) 274-7321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU

Addresses

Primary practice location

5570 DTC Pkwy Ste 250
Greenwood Village, CO 80111-3187

Mailing address

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000424 CO Part B Supplier - Clinic/Group Practice 8426961087 Receives reassigned benefits from 500 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Littleton, CO; Golden, CO; Lakewood, CO; Highlands Ranch, CO; Greenwood Village, CO; Lone Tree, CO; Monument, CO; Parker, CO…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Part of
Lakewood Orthopaedic Clinic

Locations

15530 W 64th Ave
Unit E
Arvada, CO 80007
Phone (303) 424-4589

5570 Dtc Pkwy
Ste 250
Greenwood Village, CO 80111

Practitioners & affiliated clinicians

Practitioners 11

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": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1467076117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 DTC PKWY STE 250",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113187",
            "telephone_number": "303-233-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-274-7321"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.