Organization Active NPI

Colorado Wheelchair, LLC

  • Durable Medical Equipment & Medical Supplies
  • Longmont, CO
National Provider Identifier
1871509315
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COLORADO WHEELCHAIR, LLC
Practice address
745 Tanager Cir
Longmont, CO 80501-2697
Phone
(303) 684-8852
Fax
(800) 650-9604
NPI assigned
Aug 1, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Ron Edward Gaitten II
Title
Owner
Phone
(303) 684-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

745 Tanager Cir
Longmont, CO 80501-2697

Mailing address

745 Tanager Cir
Longmont, CO 80501-2697
Phone (303) 684-8852

Other identifiers 1

IdentifierTypeStateIssuer
80204368MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1871509315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 TANAGER CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012697",
            "telephone_number": "303-684-8852",
            "fax_number": "800-650-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 TANAGER CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012697",
            "telephone_number": "303-684-8852",
            "fax_number": "800-650-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO WHEELCHAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GAITTEN",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-684-8852",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80204368",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.