Organization Active NPI

Invivo, Incorporated

  • Prosthetic/Orthotic Supplier
  • Colorado Springs, CO
National Provider Identifier
1962578740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
INVIVO, INCORPORATED
Practice address
2415 N Union Blvd
Colorado Springs, CO 80909-1107
Phone
(719) 632-4275
Fax
(719) 471-0760
NPI assigned
Nov 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Mishasek, CPEDNPI 1528136777
Title
President
Phone
(719) 632-4275

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2415 N Union Blvd
Colorado Springs, CO 80909-1107

Mailing address

2415 N Union Blvd
Colorado Springs, CO 80909-1107
Phone (719) 632-4275

Other identifiers 1

IdentifierTypeStateIssuer
08002982MedicaidCO

National Provider Directory

National Provider Directory

Locations

2415 N Union Blvd
Colorado Springs, CO 80909
Phone (719) 271-1853

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": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962578740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091107",
            "telephone_number": "719-632-4275",
            "fax_number": "719-471-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091107",
            "telephone_number": "719-632-4275",
            "fax_number": "719-471-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVIVO, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISHASEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-632-4275",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08002982",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.