Active NPI
Lars a. Stangebye, MD
- Primary Care Clinic/Center
- Montrose, CO
National Provider Identifier
1740462167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- LARS A. STANGEBYE, MD
- Practice address
- 816 S 5TH St
Suite B
Montrose, CO 81401-5765 - Phone
- (970) 240-4311
- Fax
- (970) 240-7976
- NPI assigned
- Nov 27, 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
- Dr. Lars A. Stangebye, M.D.
- Title
- Sole Proprietor
- Phone
- (970) 240-4311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | CO | Primary |
Addresses
Primary practice location
816 S 5TH St
Suite B
Montrose, CO 81401-5765
Mailing address
816 S 5TH St
Suite B
Montrose, CO 81401-5765
Phone (970) 240-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65734751 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
816 S 5th St
Montrose, CO 81401
Phone (970) 240-4311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1740462167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 S 5TH ST",
"address_2": "SUITE B",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015765",
"telephone_number": "970-240-4311",
"fax_number": "970-240-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 S 5TH ST",
"address_2": "SUITE B",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015765",
"telephone_number": "970-240-4311",
"fax_number": "970-240-7976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARS A. STANGEBYE, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "STANGEBYE",
"authorized_official_first_name": "LARS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "970-240-4311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65734751",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.