Mountain Vein Care Professional LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

49096 Issued in CO

Legal business name

MOUNTAIN VEIN CARE PROFESSIONAL LLC

Doing business as

Mountain Vein Care

Practice address

50 Buck Creek Rd Ste 205
Avon, CO 81620-5428

Phone

(970) 766-8346

Fax

(888) 979-8915

NPI assigned

Mar 21, 2013

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl Dando, MDNPI 1184666323

Title

Medical Director

Phone

(724) 799-4917

Specialties & licenses 1

Addresses

Other names 1

• Mountain Vein Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Mountain Vein Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mountain Vein Care Professional LLC

  • Medical Specialty Clinic/Center
  • Grand Junction, CO
  • NPI 1154083459
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl F Dando, MD,RVT,RPVI, RPHS

  • Phlebology Physician
  • Avon, CO
  • NPI 1184666323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1629310107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816320450",
            "telephone_number": "970-766-8346",
            "fax_number": "888-979-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 205",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-766-8346",
            "fax_number": "888-979-8915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2643 Patterson Rd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815061937",
            "country_code": "US",
            "telephone_number": "970-766-8346",
            "fax_number": "888-979-8915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Foresight Cir",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051018",
            "country_code": "US",
            "telephone_number": "970-766-8346",
            "fax_number": "888-979-8915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN VEIN CARE PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "DANDO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-799-4917",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "49096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Vein Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Vein Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen J Mohr, MD
• Paige Monnet, M.D.
• Mountain Air Wellness LLC
• Mountain Family Health Centers (Mountain Family Health Centers Avon School Based Health Center)
• Mountain Family Health Centers (Mountain Family Health Centers Avon)
• Meredith Hundt Mueller, PT
• Kelly Ann Murphy, PA-C
• Gary Myers, PHD
• Oksana Hauk Myers, LP
• Dawn Nelson, LPC, NCC, MA

• Medical Specialty Clinic/Center in Avon, CO
• Providers in Avon, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.