NPIMap

Organization Active NPI

Colorado Pain Practice, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Loveland, CO
National Provider Identifier
1740059401
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
COLORADO PAIN PRACTICE, PLLC
Doing business as
Colorado Pain Care, LLC
Practice address
1647 E 18TH St
Loveland, CO 80538-4209
Phone
(970) 473-7900
Fax
(970) 473-7901
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Dr. Robert Moghim, MD
Title
Owner
Phone
(303) 468-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1647 E 18TH St
Loveland, CO 80538-4209

Mailing address

2696 S Colorado Blvd Ste 240
Denver, CO 80222-5948
Phone (303) 468-7246

Other names 1

  • Colorado Pain Care, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Pain Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1740059401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 S COLORADO BLVD STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225948",
            "telephone_number": "303-468-7246",
            "fax_number": "303-277-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 E 18TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384209",
            "telephone_number": "970-473-7900",
            "fax_number": "970-473-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PAIN PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "MOGHIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-468-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Pain Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.