Individual provider Active NPI

Steven A Nahm

  • Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1891387155
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Practice address
1233 Lake Plaza Dr Ste B
Colorado Springs, CO 80906-3567
Phone
(719) 418-7243
Fax
(719) 418-6463
NPI assigned
Feb 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1233 Lake Plaza Dr Ste B
Colorado Springs, CO 80906-3567

Mailing address

536 Bluebird Canyon Dr
Laguna Beach, CA 92651-3307
Phone (949) 510-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medevals of Colorado, Inc. CurrentSince Feb 14, 2021 Accepting new patients
Medevals of California, P.C. CurrentSince Feb 14, 2021 Accepting new patients

Locations

1233 Lake Plaza Dr
Ste B
Colorado Springs, CO 80906
Phone (719) 418-6418

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1891387155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 BLUEBIRD CANYON DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513307",
            "telephone_number": "949-510-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LAKE PLAZA DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063567",
            "telephone_number": "719-418-7243",
            "fax_number": "719-418-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHM",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.