Colorado Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLORADO MEDICAL SUPPLY

Practice address

413 Summit Blvd Unit 101
Broomfield, CO 80021-8295

Phone

(303) 499-6565

Fax

(303) 499-8585

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Ryan David Groelz, DCNPI 1912124397

Title

Owner

Phone

(303) 378-6935

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ryan David Groelz, D.C.

  • Chiropractor
  • Broomfield, CO
  • NPI 1912124397
  NPD Authorized official

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1568086569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SUMMIT BLVD UNIT 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218295",
            "telephone_number": "303-499-6565",
            "fax_number": "303-499-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SUMMIT BLVD UNIT 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218295",
            "telephone_number": "303-499-6565",
            "fax_number": "303-499-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "GROELZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-378-6935",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Gum Care
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• Colorado Internal Medicine Associates, PC
• Colorado Intraoperative Monitoring
• Colorado Neurodiagnostics, LLC
• Colorado OB/GYN Partners, PLLC
• Colorado Physical Therapy Institute, P.C.
• Colorado Urgent Care PLLC
• Colorado Vision Specialists, PC

• Durable Medical Equipment & Medical Supplies in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.