Great Play of Highlands Ranch

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREAT PLAY OF HIGHLANDS RANCH

Practice address

5690 E County Line PL, Unit D
Highlands Ranch, CO 80126

Phone

(646) 416-1208

NPI assigned

Sep 18, 2017

Last updated

Sep 18, 2017By 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

Pong Paul Harnkijroong

Title

Owner

Phone

(646) 416-1208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1629597042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 COUNTY LINE PL UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801263935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 E COUNTY LINE PL, UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "646-416-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAY OF HIGHLANDS RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "HARNKIJROONG",
        "authorized_official_first_name": "PONG",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-416-1208"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann J Granadillo, MD
• Carlie Lorrayne Grandbouche, DPT
• Melinda Grandy, CNA
• Deirdre N Grate, MD
• Steffi R Gratigny, MD
• Great Smiles LTD. (Great Smiles of Highlands Ranch)
• Greater Athlete
• Bradley W Green, DDS
• Jill McIntire Green, MA, CCC-SLP
• Cassie E Greene

• Community/Behavioral Health Agency in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.