NPIMap

Organization Active NPI

Front Range Dermatology Associates

  • Medical Specialty Clinic/Center
  • Fort Morgan, CO
National Provider Identifier
1851932313
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FRONT RANGE DERMATOLOGY ASSOCIATES
Practice address
500 Main St
Fort Morgan, CO 80701-2130
Phone
(970) 673-1155
Fax
(970) 673-4747
NPI assigned
Oct 4, 2019
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Michele Blum
Title
Practice Manager
Phone
(970) 673-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

500 Main St
Fort Morgan, CO 80701-2130

Mailing address

PO Box 69
Timnath, CO 80547-0069
Phone (970) 301-0130

National Provider Directory

National Provider Directory
Tax ID family
Front Range Dermatology Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1851932313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805470069",
            "telephone_number": "970-301-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012130",
            "telephone_number": "970-673-1155",
            "fax_number": "970-673-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "970-673-1155"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.