Grand Mesa Spine and Sport, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GRAND MESA SPINE AND SPORT, LLC

Doing business as

COLORADO INJURY AND PAIN SPECIALISTS

Practice address

201 W Park Dr
Grand Junction, CO 81505-1469

Phone

(970) 242-0162

Fax

(970) 242-1097

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Leilani Harmon

Title

Billing Director

Phone

(419) 843-1370

Specialties & licenses 1

Addresses

Other names 1

• COLORADO INJURY AND PAIN SPECIALISTS Doing business as

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1952789059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172700",
            "telephone_number": "419-843-1370",
            "fax_number": "419-843-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051469",
            "telephone_number": "970-242-0162",
            "fax_number": "970-242-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MESA SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "419-843-1370"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLORADO INJURY AND PAIN SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.