C T Archuleta MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26611 Issued in CO

Legal business name

C T ARCHULETA MD LLC

Practice address

2215 San Juan Ave
La Junta, CO 81050-1081

Phone

(719) 383-0445

Fax

(719) 383-0448

NPI assigned

Nov 14, 2006

Last updated

Nov 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chope T Archuleta, MD, LLC

Title

MD

Phone

(719) 383-0445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1477625556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "address_2": "2215 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501081",
            "telephone_number": "719-383-0445",
            "fax_number": "719-383-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501081",
            "telephone_number": "719-383-0445",
            "fax_number": "719-383-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C T ARCHULETA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "ARCHULETA",
        "authorized_official_first_name": "CHOPE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "719-383-0445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, LLC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "26611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64034763",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Mitchel Brown, OD
• Leslie Bruna, FNP-BC
• Tarren Buford, LPN
• Terrell Lynn Burkhalter, P.T.A.
• Kenneth R Burrow Jr., M.S.
• Judy Lee Campbell, RN
• Melody Cannon, B.A.
• Annette Marie Capwell
• Jesus E Carale, MD
• Jacklyn Jean Cargill, M.A.

• Internal Medicine Physician in La Junta, CO
• Providers in La Junta, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.