CRANIOFACIAL PAIN & SLEEP CENTER, PLLC (NPI# 1992161129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992161129 |
| Entity Type | Organization |
| Organization Name | CRANIOFACIAL PAIN & SLEEP CENTER, PLLC |
| Practice Address |
2627 Redwing Rd Suite 300 Fort Collins CO 80526-6321 |
| Practice Telephone | 9704840250 |
| Practice Fax Number | 9704841522 |
| Mailing Telephone | 9704840250 |
| Mailing Fax Number | 9704841522 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | KINGDON BRADY (OWNER) |
| Authorized Official Telephone | 9704840250 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
202172 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE PTAN | 7509330001 | 01 |
| Street Address |
2627 REDWING RD SUITE 300 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255393765 | Kingdon Kibble Brady | Dentist | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2006-04-03 |
| 1538575014 | Rachel Hargrove | Massage Therapist | 2627 Redwing Rd, Suite 350, Fort Collins, CO 80526-6321 | 2014-07-07 |
| 1033475884 | Sarah Higgins | Counselor | 2627 Redwing Rd, Suite 225, Fort Collins, CO 80526-6321 | 2012-04-05 |
| 1336446475 | Craniofacial Pain and Sleep Center | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2011-02-25 |
| 1497990113 | Mitchell J Mayo | Technician/Technologist | 2627 Redwing Rd, Ste 210, Fort Collins, CO 80526-6321 | 2008-12-09 |
| 1154417921 | Vickie L Bohlender | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 220a, Fort Collins, CO 80526-6321 | 2006-10-05 |
| 1548368194 | Justin W Thole | Chiropractor | 2627 Redwing Rd, Suite 235, Fort Collins, CO 80526-6321 | 2006-09-20 |
| 1922066562 | Richard H Keller | Dentist | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2006-05-03 |
| 1598727224 | Nara Schramm | Acupuncturist | 2627 Redwing Rd, Suite 235, Fort Collins, CO 80526-6321 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821479205 | Dental Sleep Therapy of Fort Collins LLC | Durable Medical Equipment & Medical Supplies | 140 Boardwalk Dr Unit G, Fort Collins, CO 80525-3153 | 2015-06-11 |
| 1396017570 | Frontier Access & Mobility Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E. Mullberry, Fort Collins, CO 80524 | 2012-02-02 |
| 1790723823 | Praxair Healthcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 1600 E Mulberry St, Suite 2, Fort Collins, CO 80524-3553 | 2006-06-02 |
| 1336446475 | Craniofacial Pain and Sleep Center | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2011-02-25 |
| 1154417921 | Vickie L Bohlender | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 220a, Fort Collins, CO 80526-6321 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314379 | Adaptive Mobility, LLC | Durable Medical Equipment & Medical Supplies | 3914 Sandalwood Ln, Pueblo, CO 81005-2586 | 2020-10-19 |
| 1285257485 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 2387 River Rd Ste 130, Grand Junction, CO 81505-1350 | 2020-05-21 |
| 1952936577 | Asm LLC | Durable Medical Equipment & Medical Supplies | 788 W 8th Ave, Denver, CO 80204-4330 | 2020-03-04 |
| 1932746187 | Worldwide Medical Supply | Durable Medical Equipment & Medical Supplies | 10890 E Dartmouth Ave Ste Hi, Denver, CO 80014-4845 | 2019-12-06 |
| 1114577434 | Deleene Howard | Durable Medical Equipment & Medical Supplies | 4760 S Wadsworth Blvd # 201, Littleton, CO 80123-1310 | 2019-09-18 |
| 1710455027 | Comed Ventures LLC | Durable Medical Equipment & Medical Supplies | 1427 S Federal Blvd Ste B, Denver, CO 80219-4720 | 2018-11-05 |
| 1194239343 | Sunshine Dentistry PC | Durable Medical Equipment & Medical Supplies | 100 Park Ave Ste 212, Steamboat Springs, CO 80487-5185 | 2017-11-27 |
| 1679002356 | Rocky Mountain Anaplastology Inc | Durable Medical Equipment & Medical Supplies | 3405 S Yarrow St Unit C, Lakewood, CO 80227-4901 | 2017-06-07 |
| 1316486236 | Spinepro LLC | Durable Medical Equipment & Medical Supplies | 5744 Blue Feather Pl, Longmont, CO 80503-7344 | 2017-02-13 |
| 1720432826 | Ascent Mobility Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 747 Sheridan Blvd Unit 4b, Lakewood, CO 80214-2560 | 2016-04-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on CRANIOFACIAL PAIN & SLEEP CENTER, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.