Organization Active NPI

Rocky Mountain Respiratory Resource

  • Oxygen Equipment & Supplies (DME)
  • Peyton, CO
National Provider Identifier
1720128903
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
5569790001 Issued in CO
Legal business name
ROCKY MOUNTAIN RESPIRATORY RESOURCE
Practice address
11050 Spotswood Ter
Peyton, CO 80831-4510
Phone
(719) 200-9697
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
David J Klein Jr.
Title
President
Phone
(719) 200-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 5569790001 CO Primary

Addresses

Primary practice location

11050 Spotswood Ter
Peyton, CO 80831-4510

Mailing address

11050 Spotswood Ter
Peyton, CO 80831-4510
Phone (719) 200-9697

Other identifiers 1

IdentifierTypeStateIssuer
42977339MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930049707 CO DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1759582554 Practice locations: Golden, CO

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
City Park Healthcare and Rehabilitation CenterDenver, CO, CCN 065009 Skilled nursing facility Operational/Managerial Control Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1720128903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 SPOTSWOOD TER",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314510",
            "telephone_number": "719-200-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 SPOTSWOOD TER",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314510",
            "telephone_number": "719-200-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN RESPIRATORY RESOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-200-9697",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": "5569790001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42977339",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

Verify at the official NPI Registry.