Active NPI
High Plains Total Care LLC
- Non-Pharmacy Dispensing Site
- Pueblo, CO
National Provider Identifier
1558397281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 38639
- Legal business name
- HIGH PLAINS TOTAL CARE LLC
- Doing business as
- ROBERT VAUGHAN CIPPERLY MD
- Practice address
- 1925 E Orman Ave
Ste a 235
Pueblo, CO 81004-3537 - Phone
- (719) 565-0200
- Fax
- (719) 565-0999
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vaughan Cipperly
- Title
- Owner
- Phone
- (719) 565-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 38639 | CO | Primary |
Addresses
Primary practice location
1925 E Orman Ave
Ste a 235
Pueblo, CO 81004-3537
Mailing address
1925 E Orman Ave
Ste a 235
Pueblo, CO 81004-3537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44824785 | Medicaid | CO | |
| 0619823 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- ROBERT VAUGHAN CIPPERLY MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558397281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 E ORMAN AVE",
"address_2": "STE A 235",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E ORMAN AVE",
"address_2": "STE A 235",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043537",
"telephone_number": "719-565-0200",
"fax_number": "719-565-0999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH PLAINS TOTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CIPPERLY",
"authorized_official_first_name": "VAUGHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-565-0200"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "CO",
"license": "38639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44824785",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0619823",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROBERT VAUGHAN CIPPERLY MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.