Colorado Knee and Spine Clinic, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLORADO KNEE AND SPINE CLINIC, INC

Doing business as

First Care Primary Clinic

Practice address

6726 S Revere Pkwy Ste 180
Centennial, CO 80112-3962

Phone

(720) 681-6170

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Selano, DC

Title

Owner/Ceo

Phone

(720) 681-6170

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• First Care Primary Clinic Doing business as

Locations

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.

• Amy Hinds Schopp

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1174136352
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1710534524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 S REVERE PKWY STE 180",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123962",
            "telephone_number": "720-681-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 S REVERE PKWY STE 180",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123962",
            "telephone_number": "720-681-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO KNEE AND SPINE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "SELANO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "720-681-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000201584",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Care Primary Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.