Organization Active NPI

Sports & Orthopaedic Associates of the Redlands, LLC

  • Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1760466601
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPORTS & ORTHOPAEDIC ASSOCIATES OF THE REDLANDS, LLC
Practice address
2497 Power Rd
Unit 10
Grand Junction, CO 81507-3085
Phone
(970) 263-4079
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mr. Britt Matthew Smith, MSP OCS FAAOPT
Title
Owner
Phone
(970) 263-4079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2497 Power Rd
Unit 10
Grand Junction, CO 81507-3085

Mailing address

2497 Power Rd
Unit 10
Grand Junction, CO 81507-3085
Phone (970) 263-4079

Other identifiers 1

IdentifierTypeStateIssuer
CF8038OtherCORAILROAD MEDICARE PIN

National Provider Directory

National Provider Directory

Locations

2497 Power Rd
#10S
Grand Junction, CO 81507
Phone (970) 263-4079

415 Monument Rd
Grand Junction, CO 81503
Phone (970) 263-4079

2497 Power Rd
Unit 10
Grand Junction, CO 81507
Phone (970) 263-4079

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1760466601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 POWER RD",
            "address_2": "UNIT 10",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815073085",
            "telephone_number": "970-263-4079",
            "fax_number": "970-241-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 POWER RD",
            "address_2": "UNIT 10",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815073085",
            "telephone_number": "970-263-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS & ORTHOPAEDIC ASSOCIATES OF THE REDLANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRITT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-263-4079",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSP OCS FAAOPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CF8038",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.