NPIMap

Organization Active NPI

Alpine Ear, Nose and Throat, PC

  • Otolaryngology Physician
  • Fort Collins, CO
National Provider Identifier
1790720464
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ALPINE EAR, NOSE AND THROAT, PC
Practice address
1120 E Elizabeth St
F-101
Fort Collins, CO 80524-4044
Phone
(970) 221-1177
Fax
(970) 484-5990
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Lori Mooney-Malone
Title
Practice Administrator
Phone
(970) 584-1063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X

Addresses

Primary practice location

1120 E Elizabeth St
F-101
Fort Collins, CO 80524-4044

Mailing address

1120 E Elizabeth St
F-101
Fort Collins, CO 80524-4044
Phone (970) 221-1177

Other identifiers 1

IdentifierTypeStateIssuer
04005625MedicaidCO

Other names 1

  • All About Hearing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040921001320 CO Part B Supplier - Clinic/Group Practice 9436127032 Receives reassigned benefits from 33 practitioners
Practice locations: Fort Collins, CO; Greeley, CO; Loveland, CO

National Provider Directory

National Provider Directory

Locations

1120 E Elizabeth St
Ste 101
Fort Collins, CO 80524

1120 E Elizabeth St
Ste F101
Fort Collins, CO 80524
Phone (970) 221-1177

1124 E Elizabeth St
Fort Collins, CO 80524
Phone (970) 484-0798

1120 E Elizabeth St
Ste 101F
Fort Collins, CO 80524

1100 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 484-2850

1120 E Elizabeth St
Fort Collins, CO 80524
Phone (866) 628-7828

6500 29th St
Ste 101
Greeley, CO 80634

2021 Boise Ave
Loveland, CO 80538
Phone (970) 527-1122

3830 Grant Ave
Loveland, CO 80538
Phone (970) 278-0807

3820 Grant Ave
Loveland, CO 80538
Phone (970) 593-1177

Practitioners & affiliated clinicians

Practitioners 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1790720464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E ELIZABETH ST",
            "address_2": "F-101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244044",
            "telephone_number": "970-221-1177",
            "fax_number": "970-484-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E ELIZABETH ST",
            "address_2": "F-101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244044",
            "telephone_number": "970-221-1177",
            "fax_number": "970-484-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE EAR, NOSE AND THROAT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "MOONEY-MALONE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-584-1063"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04005625",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Hearing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All About Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.