Organization Active NPI

Colorado Back Institute

Doing business as Disc Spine Sport & Stem Cell

  • Specialist
  • Lone Tree, CO
National Provider Identifier
1679923718
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLORADO BACK INSTITUTE
Doing business as
Disc Spine Sport & Stem Cell
Practice address
10535 Park Meadows Blvd Ste 150
Lone Tree, CO 80124-8401
Phone
(303) 594-2686
Fax
(877) 569-2398
NPI assigned
Jun 20, 2016
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Lisa M Douglas
Title
Director of Operations
Phone
(720) 441-4021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Medical Specialty Clinic/Center 261QM2500X NU

Addresses

Primary practice location

10535 Park Meadows Blvd Ste 150
Lone Tree, CO 80124-8401

Mailing address

10535 Park Meadows Blvd Ste 150
Lone Tree, CO 80124-8401
Phone (303) 594-2686

Other practice location 1

11 W Surrey Dr
Castle Rock, CO 80108-9100
Phone (303) 594-2686

Other names 1

  • Disc Spine Sport & Stem Cell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240625000214 CO Part B Supplier - Clinic/Group Practice 0840733341 Receives reassigned benefits from 2 practitioners
Practice locations: Lone Tree, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2338473Colorado Back Institute10535 Park Meadows Blvd #150, Lone Tree, CO 80124RegistrationFeb 10, 2028

National Provider Directory

National Provider Directory

Locations

500 E Hampden Ave
Englewood, CO 80113
Phone (303) 385-0808

10535 Park Meadows Blvd
Ste 150
Lone Tree, CO 80124
Phone (303) 594-2686

Practitioners & affiliated clinicians

Practitioners 4

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": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1679923718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248401",
            "telephone_number": "303-594-2686",
            "fax_number": "877-569-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248401",
            "telephone_number": "303-594-2686",
            "fax_number": "877-569-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 W Surrey Dr",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801089100",
            "country_code": "US",
            "telephone_number": "303-594-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO BACK INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "720-441-4021"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Disc Spine Sport & Stem Cell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.