Organization Active NPI

Central Colorado Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Buena Vista, CO
National Provider Identifier
1861997322
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
20186000250 Issued in CO
Legal business name
CENTRAL COLORADO PROSTHETICS AND ORTHOTICS, LLC
Practice address
28350 County Road 317 Unit 8
Buena Vista, CO 81211-9261
Phone
(303) 396-9557
NPI assigned
Mar 27, 2018
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Lara Knudson, MSPO, CPO
Title
Owner
Phone
(303) 396-9557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 20186000250 CO Primary

Addresses

Primary practice location

28350 County Road 317 Unit 8
Buena Vista, CO 81211-9261

Mailing address

918 Bellows Rd
Hartsel, CO 80449-8553

National Provider Directory

National Provider Directory

Locations

28350 County Road 317
Unit 8
Buena Vista, CO 81211
Phone (303) 396-9557

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1861997322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BELLOWS RD",
            "city": "HARTSEL",
            "state": "CO",
            "postal_code": "804498553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28350 COUNTY ROAD 317 UNIT 8",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119261",
            "telephone_number": "303-396-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COLORADO PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-396-9557",
        "authorized_official_credential": "MSPO, CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "20186000250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.