NPIMap

Organization Active NPI

Breakthrough Regenerative Orthopedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boulder, CO
National Provider Identifier
1497261523
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
00041636 Issued in CO
Legal business name
BREAKTHROUGH REGENERATIVE ORTHOPEDICS
Practice address
5420 Arapahoe Ave Ste a
Boulder, CO 80303-1250
Phone
(720) 463-0567
Fax
(303) 494-5371
NPI assigned
Dec 27, 2017
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Tami Rodriguez
Title
Office Manager
Phone
(720) 463-0567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 00041636 CO Primary

Addresses

Primary practice location

5420 Arapahoe Ave Ste a
Boulder, CO 80303-1250

Mailing address

5420 Arapahoe Ave Ste a
Boulder, CO 80303-1250
Phone (720) 463-0567

Other names 1

  • Regenerative Orthopedics & Sports Medicine Other name

National Provider Directory

National Provider Directory

Locations

5420 Arapahoe Ave
Ste A
Boulder, CO 80303
Phone (303) 604-1444

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1497261523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 ARAPAHOE AVE STE A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031250",
            "telephone_number": "720-463-0567",
            "fax_number": "303-494-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 ARAPAHOE AVE STE A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031250",
            "telephone_number": "720-463-0567",
            "fax_number": "303-494-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH REGENERATIVE ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-463-0567"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "00041636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerative Orthopedics & Sports Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Regenerative Orthopedics & Sports Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.