NPIMap

Organization Active NPI

Highlands Pain Management

  • Medical Specialty Clinic/Center
  • Greenwood Village, CO
National Provider Identifier
1851830640
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
CHR.0006922 Issued in CO
Legal business name
HIGHLANDS PAIN MANAGEMENT
Practice address
5950 S Willow Dr Ste 200
Greenwood Village, CO 80111-5144
Phone
(720) 515-8002
Fax
(303) 741-2676
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Clyde Johnson, DC MS-REHAB MS-NUTRI
Title
Owner
Phone
(760) 449-7641

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CHR.0006922 CO Primary
Physical Therapy Clinic/Center 261QP2000X CHR.0006922 CO
Pain Clinic/Center 261QP3300X CHR.0006922 CO
Rehabilitation Clinic/Center 261QR0400X CHR.0006922 CO
Urgent Care Clinic/Center 261QU0200X CHR.0006922 CO

Addresses

Primary practice location

5950 S Willow Dr Ste 200
Greenwood Village, CO 80111-5144

Mailing address

5950 S Willow Dr
Greenwood Village, CO 80111-5170
Phone (720) 515-8002

National Provider Directory

National Provider Directory
Tax ID family
Highlands Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5950 S Willow Dr
Greenwood Village, CO 80111
Phone (303) 773-9798

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1851830640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115170",
            "telephone_number": "720-515-8002",
            "fax_number": "303-741-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115144",
            "telephone_number": "720-515-8002",
            "fax_number": "303-741-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-449-7641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC MS-REHAB MS-NUTRI"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.