NPIMap

Organization Active NPI

Medevals of Colorado, Inc.

  • General Practice Physician
  • Colorado Springs, CO
National Provider Identifier
1982102406
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDEVALS OF COLORADO, INC.
Practice address
1233 Lake Plaza Dr Ste B
Colorado Springs, CO 80906-3567
Phone
(949) 510-2810
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Steven A NahmNPI 1891387155
Title
President
Phone
(949) 510-2810

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1233 Lake Plaza Dr Ste B
Colorado Springs, CO 80906-3567

Mailing address

536 Bluebird Canyon Dr
Laguna Beach, CA 92651-3307

National Provider Directory

National Provider Directory

Locations

1233 Lake Plaza Dr
Ste B
Colorado Springs, CO 80906
Phone (719) 418-6418

Practitioners & affiliated clinicians

Practitioners 3

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1982102406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 BLUEBIRD CANYON DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LAKE PLAZA DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063567",
            "telephone_number": "949-510-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEVALS OF COLORADO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "NAHM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-510-2810"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2021; 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.