Colorado Medical Pain Management Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLORADO MEDICAL PAIN MANAGEMENT CENTER

Practice address

5155 N. Academy Blvd.
Suite 201
Colorado Springs, CO 80918

Phone

(719) 314-0507

Fax

(719) 465-1398

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

John Louis Mantos

Title

Ceo

Phone

(719) 314-0507

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1619906302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 N. ACADEMY BLVD.",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-314-0507",
            "fax_number": "719-465-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 N. ACADEMY BLVD.",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-314-0507",
            "fax_number": "719-465-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MEDICAL PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MANTOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-314-0507"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59883766",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colorado Laser Clinic Inc
• Colorado Low T Enterprises LLC
• Colorado Maxillofacial and Oral Surgeons (Comax)
• Colorado Medical Consulting, LLC
• Colorado Medical Massage and Injury Clinic
• Colorado Mindfulness Associates
• Colorado Motion
• Colorado Motion
• Colorado Ocupational Medical Partners, Inc.
• Colorado Optimized Health LLC

• Durable Medical Equipment & Medical Supplies in Colorado Springs, CO
• Providers in Colorado Springs, 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 Apr 26, 2012; 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.