NPIMap

Organization Active NPI

Community Specialty Group LLC

Doing business as Grand Valley ENT & Facial Plastic Surgeons

  • Specialist
  • Grand JCT, CO
National Provider Identifier
1912622333
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMMUNITY SPECIALTY GROUP LLC
Doing business as
Grand Valley ENT & Facial Plastic Surgeons
Practice address
2373 G Rd Ste 270
Grand JCT, CO 81505-1006
Phone
(970) 644-3800
Fax
(970) 644-3946
NPI assigned
Oct 7, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Christian Thomas
Title
President/Ceo
Phone
(970) 644-3011

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Otolaryngology Physician 207Y00000X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

2373 G Rd Ste 270
Grand JCT, CO 81505-1006

Mailing address

PO Box 1727
Grand JCT, CO 81502-1727
Phone (970) 644-3800

Other names 1

  • Grand Valley ENT & Facial Plastic Surgeons Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Specialty Group LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

2373 G Rd
Ste 270
Grand Junction, CO 81505
Phone (970) 644-3800

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1912622333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-644-3800",
            "fax_number": "970-644-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 270",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-644-3800",
            "fax_number": "970-644-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "970-644-3011"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Valley ENT & Facial Plastic Surgeons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Valley ENT & Facial Plastic Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand JCT, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.