Organization Active NPI

High Plains Total Care LLC

  • Non-Pharmacy Dispensing Site
  • Pueblo, CO
National Provider Identifier
1558397281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
38639 Issued in CO
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
44824785MedicaidCO
0619823OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • ROBERT VAUGHAN CIPPERLY MD Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.