NPIMap

Organization Active NPI

Mountain Midwifery Center Inc

  • Birthing Clinic/Center
  • Englewood, CO
National Provider Identifier
1659542579
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
40G369 Issued in CO
Legal business name
MOUNTAIN MIDWIFERY CENTER INC
Practice address
3535 S Lafayette St
Suite 100
Englewood, CO 80113-3957
Phone
(303) 788-0600
Fax
(303) 788-0602
NPI assigned
Mar 19, 2008
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Mr. Joel L Ryan, MS
Title
Owner
Phone
(303) 788-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 40G369 CO Primary
Advanced Practice Midwife 367A00000X

Addresses

Primary practice location

3535 S Lafayette St
Suite 100
Englewood, CO 80113-3957

Mailing address

3535 S Lafayette St
Suite 100
Englewood, CO 80113-3957
Phone (303) 788-0600

Other identifiers 1

IdentifierTypeStateIssuer
63674351MedicaidCO

Other names 1

  • Mountain Midwifery Group Midwives Other name

National Provider Directory

National Provider Directory
Tax ID family
Mountain Midwifery Center Inc2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1659542579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S LAFAYETTE ST",
            "address_2": "SUITE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133957",
            "telephone_number": "303-788-0600",
            "fax_number": "303-788-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S LAFAYETTE ST",
            "address_2": "SUITE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133957",
            "telephone_number": "303-788-0600",
            "fax_number": "303-788-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MIDWIFERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-788-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CO",
            "license": "40G369",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63674351",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Midwifery Group Midwives",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.