Organization Active NPI

CCC of Northern Colorado PLLC

  • Pain Medicine Physician
  • Louisville, CO
National Provider Identifier
1831487289
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CCC OF NORTHERN COLORADO PLLC
Practice address
1124 W Dillon Rd Ste 1
Louisville, CO 80027-1290
Phone
(303) 926-6865
Fax
(303) 604-6044
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Ms. Ramona L Reed, M.D.
Title
President
Phone
(303) 420-1906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1124 W Dillon Rd Ste 1
Louisville, CO 80027-1290

Mailing address

1124 W Dillon Rd Ste 1
Louisville, CO 80027-1290
Phone (303) 926-6865

National Provider Directory

National Provider Directory

Locations

1124 W Dillon Rd
Ste 1
Louisville, CO 80027
Phone (303) 900-4150

1124 W Dillon Rd
Louisville, CO 80027
Phone (303) 926-6865

Practitioners & affiliated clinicians

Practitioners 2

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": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1831487289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W DILLON RD STE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271290",
            "telephone_number": "303-926-6865",
            "fax_number": "303-604-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W DILLON RD STE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271290",
            "telephone_number": "303-926-6865",
            "fax_number": "303-604-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCC OF NORTHERN COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-420-1906",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.