NPIMap

Panorama Orthopedics & Spine Center, PC

Organization Active NPI Physical Therapy Clinic/Center · Arvada, CO

NPI 1891376547 · NPPES record last updated Apr 15, 2021

Key facts

NPI
1891376547
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Practice address
18068 W 92ND LN Unit 200
Arvada, CO 80007-8162
Phone
(720) 497-6140
Fax
(720) 497-6710
NPI assigned
Apr 15, 2021
Organization subpart
Yes
Parent organization (as reported)
PANORAMA ORTHOPEDICS & SPINE CENTER, PC

Authorized official

Name
Mark J Conklin
Title
President
Phone
(303) 274-7321

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 18

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031110000424 CO Part B Supplier - Clinic/Group Practice 8426961087 Receives reassigned benefits from 500 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Littleton, CO; Golden, CO; Lakewood, CO; Highlands Ranch, CO; Greenwood Village, CO; Lone Tree, CO; Monument, CO; Parker, CO…

National Provider Directory

Tax ID family
Panorama Ortho and Spine PC (61 organizations share this tax ID)
Part of
Panorama Ortho and Spine PC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

18068 W 92ND LN Unit 200
Arvada, CO 80007-8162

Mailing address

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223

Other names

  • Candelas PANC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2021.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1891376547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223",
            "fax_number": "303-233-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18068 W 92ND LN UNIT 200",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078162",
            "telephone_number": "720-497-6140",
            "fax_number": "720-497-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-274-7321"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candelas PANC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arvada, CO

All providers in Arvada, CO · Physical Therapy Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.