Twin Peaks Medical Imaging LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TWIN PEAKS MEDICAL IMAGING LLC

Practice address

1950 Mountain View Ave
Longmont, CO 80501-3129

Phone

(720) 494-4777

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William B Wahl, MD

Title

President

Phone

(877) 662-4041

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1881620342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805020087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "720-494-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PEAKS MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-662-4041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39785211",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00083975",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "662372",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Rae Turner, MA CCC-SLP
• Turtlemoon, Inc.
• Mark Kardos Tuttle, M.D.
• Twin Peaks Dental & Orthodontics
• Twin Peaks Dermatology, PC
• Twin Peaks Wound and Wellness Center
• Shantell M Twobears, MD
• Theresa A Tyler
• Gerlinde S Tynan, MD
• U.S. Healthworks Provider Network of Colorado, Inc.

• Specialist in Longmont, CO
• Providers in Longmont, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.