Four Corners Ketamine Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FOUR CORNERS KETAMINE CENTER INC

Practice address

72 Suttle St Unit M
Durango, CO 81303-6829

Phone

(970) 828-3030

Fax

(970) 247-0221

NPI assigned

Jun 6, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Caplin, DONPI 1033277371

Title

President/Owner

Phone

(970) 828-3030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Seth Caplin, DO

  • Addiction Medicine (Family Medicine) Physician
  • Durango, CO
  • NPI 1033277371
  NPD Authorized official

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1508425273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST UNIT M",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036829",
            "telephone_number": "970-828-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST UNIT M",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036829",
            "telephone_number": "970-828-3030",
            "fax_number": "970-247-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS KETAMINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "CAPLIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "970-828-3030",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Corners Eye Clinic Optical
• Four Corners Eye Clinic, PC
• Four Corners Foot and Ankle P.C.
• Four Corners Foot and Ankle PC
• Four Corners Heart Clinic
• Four Corners Laser and Aesthetics
• Four Corners Mental Health, LLC
• Four Corners Naturopathic
• Four Corners Nephrology Associates PC
• Four Corners OB/GYN

• Clinic/Center in Durango, CO
• Providers in Durango, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.