NPIMap

Organization Active NPI

Centura Ventures, LLC

Doing business as Ccom Frisco

  • Occupational Medicine Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1679843874
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
CENTURA VENTURES, LLC
Doing business as
Ccom Frisco
Centura Centers for Occupational Medicine
Practice address
6011 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2605
Phone
(719) 571-8888
Fax
(719) 571-8889
NPI assigned
Jan 4, 2012
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Mr. Debra Carpenter, RN
Title
VP, Ambulatory
Phone
(303) 765-6998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

6011 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2605

Mailing address

PO Box 801172
Kansas City, MO 64180-1172
Phone (800) 953-0104

Other names 3

  • CCOM FRISCO Doing business as
  • Centura Centers for Occupational Medicine Doing business as
  • CommonSpirit Occupational Medicine Summit Other name

National Provider Directory

National Provider Directory
Tax ID family
Centura Ventures LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1679843874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801172",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801172",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232605",
            "telephone_number": "719-571-8888",
            "fax_number": "719-571-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURA VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP, AMBULATORY",
        "authorized_official_telephone_number": "303-765-6998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCOM FRISCO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centura Centers for Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centura Centers for Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CommonSpirit Occupational Medicine Summit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.