Lucky Break Orthopedics, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LUCKY BREAK ORTHOPEDICS, PC

Practice address

510 Elk Ave Ste 2
Crested Butte, CO 81224-5433

Phone

(970) 672-1980

Fax

(970) 817-2112

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. David Henry Elfenbein, M.D.

Title

President

Phone

(970) 672-1980

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lucky Break Orthopedics PC

  • Orthopaedic Surgery Physician
  • Gunnison, CO
  • NPI 1942708326

  O20180912002541

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1750074233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241627",
            "telephone_number": "970-672-1980",
            "fax_number": "970-817-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ELK AVE STE 2",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812245433",
            "telephone_number": "970-672-1980",
            "fax_number": "970-817-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY BREAK ORTHOPEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "ELFENBEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-672-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KF Oldread, Inc
• Alexis Kimball
• Sarah Michelle Kramer, L.C.S.W., M.S.W
• Mary M Larson, MASSAGE THERAPIST
• Emma Lohr, PT, DPT
• Luminary Transitions
• Joy Lynne McElyea, CNM
• Lisa Merck, APN CNM
• Garland Middleton, LCSW
• Alexandria Sipes Miller, DC

• Durable Medical Equipment & Medical Supplies in Crested Butte, CO
• Providers in Crested Butte, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.