Active NPI
Spencer Pankratz, CNIM, R.EEG.T
- Electroneurodiagnostic Specialist/Technologist
- Denver, CO
National Provider Identifier
1003301979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 3187
- Practice address
- 4600 S Ulster St Ste 125
Denver, CO 80237-2848 - Phone
- (720) 287-3093
- NPI assigned
- Jun 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 3187 | Primary |
Addresses
Primary practice location
4600 S Ulster St Ste 125
Denver, CO 80237-2848
Mailing address
139 S 1200 E Apt 1
Salt Lake City, UT 84102-1652
Phone (435) 241-8505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529798400000",
"number": "1003301979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 S 1200 E APT 1",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021652",
"telephone_number": "435-241-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 S ULSTER ST STE 125",
"city": "DENVER",
"state": "CO",
"postal_code": "802372848",
"telephone_number": "720-287-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKRATZ",
"first_name": "SPENCER",
"credential": "CNIM, R.EEG.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-24",
"last_updated": "2018-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": "3187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.