=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639011349
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALIGNMD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2026
-----------------------------------------------------
Last Update Date | 04/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6312 S FIDDLERS GREEN CIRCLE SUITE 300E
-----------------------------------------------------
City | GREENWOOD VILLAGE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-550-4220
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6312 S FIDDLERS GREEN CIRCLE SUITE 300E
-----------------------------------------------------
City | GREENWOOD VILLAGE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-550-4220
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CAO
-----------------------------------------------------
Name | KASEY ROBERTSON
-----------------------------------------------------
Credential | CHIEF ADMIN OFFICER
-----------------------------------------------------
Telephone | 210-422-4613
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246ZC0007X
-----------------------------------------------------
Taxonomy Name | Surgical Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------