Organization Active NPI

America Garden Neurosciences LLC

  • Orthopaedic Surgery of the Spine Physician
  • Johnstown, CO
National Provider Identifier
1780046706
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
AMERICA GARDEN NEUROSCIENCES LLC
Practice address
4450 Union St Ste 200
Johnstown, CO 80534-2865
Phone
(970) 315-4018
Fax
(970) 315-5554
NPI assigned
Mar 29, 2016
Last updated
Jul 21, 2022By the provider in NPPES
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
Candace Palumbo
Title
Credentialing Manager
Phone
(970) 315-4018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

4450 Union St Ste 200
Johnstown, CO 80534-2865

Mailing address

4450 Union St Ste 200
Johnstown, CO 80534-2865
Phone (970) 315-4018

Other practice location 1

4795 Larimer Pkwy
Johnstown, CO 80534-9021
Phone (970) 315-4018

National Provider Directory

National Provider Directory

Locations

4450 Union St
Ste 200
Johnstown, CO 80534
Phone (970) 315-4018

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780046706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 UNION ST STE 200",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342865",
            "telephone_number": "970-315-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 UNION ST STE 200",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342865",
            "telephone_number": "970-315-4018",
            "fax_number": "970-315-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 Larimer Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805349021",
            "country_code": "US",
            "telephone_number": "970-315-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICA GARDEN NEUROSCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "970-315-4018"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, 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.