Organization Active NPI

DRS. Rendler & Arguello

  • Clinic/Center
  • Pueblo, CO
National Provider Identifier
1841472073
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DRS. RENDLER & ARGUELLO
Practice address
401 Michigan St
Pueblo, CO 81004-2138
Phone
(719) 545-3555
Fax
(719) 545-1517
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Ms. Cheryl A Ethredge
Title
Office Manager
Phone
(719) 545-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

401 Michigan St
Pueblo, CO 81004-2138

Mailing address

401 Michigan St
Pueblo, CO 81004-2138
Phone (719) 545-3555

Other identifiers 1

IdentifierTypeStateIssuer
04011896MedicaidCO

National Provider Directory

National Provider Directory

Locations

401 Michigan St
Pueblo, CO 81004
Phone (719) 545-3555

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1841472073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MICHIGAN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042138",
            "telephone_number": "719-545-3555",
            "fax_number": "719-545-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MICHIGAN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042138",
            "telephone_number": "719-545-3555",
            "fax_number": "719-545-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. RENDLER & ARGUELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "ETHREDGE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-545-3555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04011896",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.