Organization Active NPI

Lars a. Stangebye, MD

  • Primary Care Clinic/Center
  • Montrose, CO
National Provider Identifier
1740462167
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65734751MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.