{"npi":"1336268754","type":"NPI-2","status":"active","name":{"display":"Mountain Vista Orthopaedic Surgery Center, LLC","other":[],"organization_name":"MOUNTAIN VISTA ORTHOPAEDIC SURGERY CENTER, LLC","authorised_official":"Todd Werner"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"CO","license":"0214"}]},"addresses":[{"purpose":"LOCATION","street_1":"5890 W 13TH ST STE 102","city":"GREELEY","state":"CO","postal_code":"806344821","country_code":"US","phone":"9709223844","fax":"9707039039"},{"purpose":"MAILING","street_1":"2901 N CENTRAL AVE STE 160","city":"PHOENIX","state":"AZ","postal_code":"850122702","country_code":"US","phone":"6027474000"}],"license":{"state":"CO","number":"0214"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"79826776","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"607473700","state":"CO","issuer":"DEPT OF LABOR"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041028000164","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"CO","pac_id":"5991767451"}]},"enumeration_date":"2007-03-28","last_updated":"2026-04-16","_meta":{"source":"NPPES","snapshot_date":"2026-04-16","doc_url":"https://findmynpi.com/api"}}