Larry E. Shores, Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

34757 Issued in CO

Legal business name

LARRY E. SHORES, INC

Practice address

2135 Southgate Rd
Colorado Springs, CO 80906-2605

Phone

(719) 633-4114

Fax

(719) 633-5987

NPI assigned

Feb 10, 2012

Last updated

Apr 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abby Whiteside

Title

Billing Agent

Phone

(719) 749-0256

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1528331279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 SOUTHGATE RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062605",
            "telephone_number": "719-633-4114",
            "fax_number": "719-633-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SOUTHGATE RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062605",
            "telephone_number": "719-633-4114",
            "fax_number": "719-633-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E. SHORES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "719-749-0256"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CO",
            "license": "34757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Larkin, MD
• Madison G Larkowski, LSW
• Gizza Larose, BT
• Lisa Renee Larose, LPC
• Larry D. Dillon, M.D., P.C.
• Jaime Larsen
• Karl Martin Larsen, MD
• Abigail Lynn Larson, PA-C
• Amanda Beth Larson
• Brooke Larson

• Psychiatric Hospital in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatric Hospital in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.