Organization Active NPI

Testosterone Optimization Clinic of Colorado

  • Health Service Clinic/Center
  • Longmont, CO
National Provider Identifier
1508555111
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TESTOSTERONE OPTIMIZATION CLINIC OF COLORADO
Practice address
1515 Main St Ste 15
Longmont, CO 80501-2868
Phone
(720) 899-9400
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Jay Griffin, NP-C
Title
Owner
Phone
(480) 720-6347

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1515 Main St Ste 15
Longmont, CO 80501-2868

Mailing address

1515 Main St
Longmont, CO 80501-2864
Phone (720) 899-9400

National Provider Directory

National Provider Directory

Locations

1515 Main St
Longmont, CO 80501

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1508555111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012864",
            "telephone_number": "720-899-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MAIN ST STE 15",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012868",
            "telephone_number": "720-899-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTOSTERONE OPTIMIZATION CLINIC OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-720-6347",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 1, 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.