Healthcare Provider Details

I. General information

NPI: 1447318225
Provider Name (Legal Business Name): FLATIRONS SPINE & JOINT HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2995 BASELINE ROAD STE 200
BOULDER CO
80303-2318
US

IV. Provider business mailing address

2995 BASELINE ROAD STE 200
BOULDER CO
80303-2318
US

V. Phone/Fax

Practice location:
  • Phone: 303-440-8243
  • Fax: 303-440-0292
Mailing address:
  • Phone: 303-440-8243
  • Fax: 303-440-0292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STANLEY JACK
Title or Position: OWNER-PHYSICIAN
Credential: D.O.
Phone: 303-440-8243