Organization Active NPI

Delta Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Delta, CO
National Provider Identifier
1891879201
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
42654 Issued in CO
Legal business name
DELTA ORTHOPEDICS, LLC
Practice address
257 Cottonwood St
Delta, CO 81416-4400
Phone
(970) 399-4200
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
John P Knutson, MDNPI 1962448449
Title
Physician/Owner
Phone
(970) 399-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 42654 CO Primary

Addresses

Primary practice location

257 Cottonwood St
Delta, CO 81416-4400

Mailing address

PO Box 1129
Delta, CO 81416-1129
Phone (970) 874-2470

Other identifiers 3

IdentifierTypeStateIssuer
28626532MedicaidCO
611779000OtherCOOWCP
DEK00809OtherCOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061207000120 CO Part B Supplier - Clinic/Group Practice 3870592512 Receives reassigned benefits from 1 practitioner
Practice locations: Delta, CO
O20100930045840 CO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3870592512 Practice locations: Delta, CO

National Provider Directory

National Provider Directory

Locations

257 Cottonwood St
Delta, CO 81416
Phone (970) 399-4200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1891879201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161129",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 COTTONWOOD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814164400",
            "telephone_number": "970-399-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "970-399-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "42654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28626532",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "611779000",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "DEK00809",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.