Colorado Back Institute
NPI 1679923718ActiveOrganization· Specialist· Lone Tree, CO
Specialist in Lone Tree, Colorado, registered in NPPES in June 2016. The authorized official on file is Lisa M. Douglas, Director Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679923718 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2016 |
| Last updated in NPPES | Jan 12, 2026 |
| Certified by provider | Jan 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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