Peak to Prairie Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEAK TO PRAIRIE PRIMARY CARE LLC

Practice address

1880 Dublin Blvd Ste E
Colorado Springs, CO 80918-1224

Phone

(719) 203-7459

Fax

(719) 822-2849

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Carter, DO

Title

Owner

Phone

(719) 203-7459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1609381615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 CONNAUGHT DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809083028",
            "telephone_number": "719-203-7459",
            "fax_number": "719-822-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 DUBLIN BLVD STE E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181224",
            "telephone_number": "719-203-7459",
            "fax_number": "719-822-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK TO PRAIRIE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-203-7459",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.