Active NPI
Colorado Wheelchair, LLC
- Durable Medical Equipment & Medical Supplies
- Longmont, CO
National Provider Identifier
1871509315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80204368 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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
- Colorado Institute for Neuromuscular and Neurological Disorders, PLLC
- Colorado Medical Group, PLLC (United Vein & Vascular Centers)
- Colorado Permanente Medical Group, P.C. (Kaiser Permanente Longmont Medical Offices)
- Colorado Surgical Service PC (Surgical Specialists of Colorado)
- Colorado Urgent Care PLLC (NextCare Urgent Care)
- Colorado Women's Care
- Albert Hugh Colton
- Jean F Colton, PT
- Comfort Haven Homes LLC (Millbrook Homes)
- Christine Elizabeth Comment, B.S.
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.