Organization Active NPI

R.L.Wallingford, M.D., PLLC

  • Psychiatry Physician
  • Montrose, CO
National Provider Identifier
1588968374
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47328 Issued in CO
Legal business name
R.L.WALLINGFORD, M.D., PLLC
Practice address
700 E Main St
Montrose, CO 81401-3975
Phone
(970) 249-1238
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Richard Lee Wallingford III, M.D.
Title
Manager
Phone
(970) 249-1238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 47328 CO Primary

Addresses

Primary practice location

700 E Main St
Montrose, CO 81401-3975

Mailing address

700 E Main St
Montrose, CO 81401-3975
Phone (970) 249-1238

National Provider Directory

National Provider Directory

Locations

700 E Main St
Unit 108
Montrose, CO 81401
Phone (970) 249-1238

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1588968374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013975",
            "telephone_number": "970-249-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013975",
            "telephone_number": "970-249-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.L.WALLINGFORD, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "WALLINGFORD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-249-1238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "47328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.