Active NPI
Rocky Mountain Respiratory Resource
- Oxygen Equipment & Supplies (DME)
- Peyton, CO
National Provider Identifier
1720128903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 5569790001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42977339 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930049707 | CO | DME Supplier - Medical Supply Company | 1759582554 | Practice locations: Golden, CO |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| City Park Healthcare and Rehabilitation Center | 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.
-
- Skilled Nursing Facility
- Denver, CO
- NPI 1194564146
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Function Technologist Certified Respiratory Therapist
- Golden, CO
- NPI 1164562856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.