Individual provider Active NPI

Colby L Laughlin, M.D.

  • Diagnostic Radiology Physician
  • Reno, NV
National Provider Identifier
1780775528
Registry record updated Feb 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5167 Issued in NV
Practice address
645 N Arlington Ave
Suite 250a
Reno, NV 89503-4505
Phone
(775) 329-7707
Fax
(775) 329-7767
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5167 NV Primary

Addresses

Primary practice location

645 N Arlington Ave
Suite 250a
Reno, NV 89503-4505

Mailing address

PO Box 21568
Dept 284
Tulsa, OK 74121-1568
Phone (800) 915-3089

Other identifiers 1

IdentifierTypeStateIssuer
2016750MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061031000193 NV Practitioner - Diagnostic Radiology 6800893140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5167NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Urgent Care LLC Current Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

Interoperability endpoints

  • Direct secure messaging: colby.laughlinmd.p1@direct.smmg.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391299200000",
    "number": "1780775528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21568",
            "address_2": "DEPT 284",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211568",
            "telephone_number": "800-915-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "SUITE 250A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034505",
            "telephone_number": "775-329-7707",
            "fax_number": "775-329-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "COLBY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "5167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016750",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.