Organization Active NPI

Colorado Endoscopy Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Longmont, CO
National Provider Identifier
1497735559
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
16N612 Issued in CO
Legal business name
COLORADO ENDOSCOPY CENTERS, LLC
Practice address
205 S Main St
Suite a
Longmont, CO 80501-1716
Phone
(303) 532-2986
Fax
(303) 776-4318
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Jonathan Edward Jensen, M.D.
Title
Principal
Phone
(303) 532-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 16N612 CO Primary

Addresses

Primary practice location

205 S Main St
Suite a
Longmont, CO 80501-1716

Mailing address

205 S Main St
Suite a
Longmont, CO 80501-1716
Phone (303) 532-2986

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1497735559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-532-2986",
            "fax_number": "303-776-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-532-2986",
            "fax_number": "303-776-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ENDOSCOPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "303-532-2986",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "16N612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.