NPIMap

Organization Active NPI

Big Thompson Medical Group Inc.

  • Multi-Specialty Clinic/Center
  • Loveland, CO
National Provider Identifier
1780975995
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BIG THOMPSON MEDICAL GROUP INC.
Practice address
3880 N Grant Ave
Suite 140
Loveland, CO 80538-8433
Phone
(970) 203-0047
NPI assigned
Apr 21, 2011
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dennis E Dahlen
Title
Sr VP Finance
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3880 N Grant Ave
Suite 140
Loveland, CO 80538-8433

Mailing address

1441 North 12TH Street
Phoenix, AZ 85006

Other identifiers 1

IdentifierTypeStateIssuer
71131523MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Big Thompson Medical Group19 organizations share this tax ID, including this one
Part of
M E Lee MD

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1780975995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NORTH 12TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 N GRANT AVE",
            "address_2": "SUITE 140",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388433",
            "telephone_number": "970-203-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG THOMPSON MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71131523",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.