NPIMap

Organization Active NPI

Canyon Ridge Integrative Health LLC

  • Nurse Practitioner
  • Castle Pines, CO
National Provider Identifier
1669159653
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CANYON RIDGE INTEGRATIVE HEALTH LLC
Practice address
7280 Lagae Rd Ste B
Castle Pines, CO 80108-9454
Phone
(303) 660-3505
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Dr. Bryan Rudiak, DCNPI 1659426054
Title
Owner
Phone
(303) 660-3505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7280 Lagae Rd Ste B
Castle Pines, CO 80108-9454

Mailing address

7280 Lagae Rd Ste B
Castle Pines, CO 80108-9454
Phone (303) 660-3505

Other names 1

  • Canyon Ridge Integrative Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Canyon Ridge Integrative Health LLC2 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.

Locations

7280 Lagae Rd
Ste B
Castle Pines, CO 80108
Phone (303) 660-3505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1669159653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD STE B",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089454",
            "telephone_number": "303-660-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD STE B",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089454",
            "telephone_number": "303-660-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIDGE INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "RUDIAK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-660-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Ridge Integrative Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castle Pines, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.