NPIMap

Organization Active NPI

Red Rock Podiatry, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Cortez, CO
National Provider Identifier
1902070386
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
540 Issued in CO
Legal business name
RED ROCK PODIATRY, P.C.
Practice address
1280 N Mildred Rd Ste 1
Cortez, CO 81321-2212
Phone
(970) 565-8336
Fax
(970) 565-3134
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Dr. Terry R Cook, D.P.M.
Title
Physician and Owner
Phone
(970) 565-8336

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 540 CO
Podiatric Clinic/Center 261QP1100X
Durable Medical Equipment & Medical Supplies 332B00000X 540 CO Primary
Customized Equipment (DME) 332BC3200X 540 CO

Addresses

Primary practice location

1280 N Mildred Rd Ste 1
Cortez, CO 81321-2212

Mailing address

1280 N Mildred Rd Ste 1
Cortez, CO 81321-2212
Phone (970) 565-8336

Other identifiers 2

IdentifierTypeStateIssuer
529273291011MedicaidUT
04023719MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1902070386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N MILDRED RD STE 1",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212212",
            "telephone_number": "970-565-8336",
            "fax_number": "970-565-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N MILDRED RD STE 1",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212212",
            "telephone_number": "970-565-8336",
            "fax_number": "970-565-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "970-565-8336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "540",
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "540",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CO",
            "license": "540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529273291011",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023719",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.