Active NPI
Breakthrough Regenerative Orthopedics
- Sports Medicine (Orthopaedic Surgery) Physician
- Centennial, CO
National Provider Identifier
1497424311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- BREAKTHROUGH REGENERATIVE ORTHOPEDICS
- Practice address
- 5161 E Arapahoe Rd Ste 250
Centennial, CO 80122-4810 - Phone
- (720) 463-0567
- NPI assigned
- Sep 13, 2021
- Organization subpart
- Yes
- Parent organization
- BREAKTHROUGH REGENERATIVE ORTHOPEDICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tami Rodriguez
- Title
- Practice Manager
- Phone
- (720) 463-0567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
5161 E Arapahoe Rd Ste 250
Centennial, CO 80122-4810
Mailing address
5420 Arapahoe Ave Ste a
Boulder, CO 80303-1250
Phone (720) 463-0567
Other names 1
- Breakthrough Regenerative Orthopedics at Centennial
National Provider Directory
National Provider Directory- Part of
- Regenerative Orthopedics S
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Boulder, CO
- NPI 1497261523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680652800000",
"number": "1497424311",
"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": "5161 E ARAPAHOE RD STE 250",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801224810",
"telephone_number": "720-463-0567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKTHROUGH REGENERATIVE ORTHOPEDICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BREAKTHROUGH REGENERATIVE ORTHOPEDICS",
"enumeration_date": "2021-09-13",
"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": "PRACTICE MANAGER",
"authorized_official_telephone_number": "720-463-0567"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Breakthrough Regenerative Orthopedics at Centennial",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Breakthrough Regenerative Orthopedics at Centennial",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Centennial, 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.