Active NPI
Delta Orthopedics, LLC
- Orthopaedic Surgery Physician
- Delta, CO
National Provider Identifier
1891879201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 42654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John P Knutson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28626532 | Medicaid | CO | |
| 611779000 | Other | CO | OWCP |
| DEK00809 | Other | CO | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Delta, CO
- NPI 1962448449
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.