Organization Active NPI

Breakthrough Regenerative Orthopedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Centennial, CO
National Provider Identifier
1497424311
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
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 ORTHOPEDICSAs reported in NPPES

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
Practice Manager
Phone
(720) 463-0567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

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.

Verify at the official NPI Registry.