NPIMap

Organization Active NPI

Denver South Intraoperative Monitoring

  • Other Technician
  • Broomfield, CO
National Provider Identifier
1033399191
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
DENVER SOUTH INTRAOPERATIVE MONITORING
Practice address
390 Interlocken Cres
Suite 890
Broomfield, CO 80021-8038
Phone
(720) 407-2700
Fax
(303) 339-1498
NPI assigned
Nov 6, 2007
Organization subpart
Yes
Parent organization
PRONERVEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David R Callejas
Title
Chief Financial Officer
Phone
(303) 339-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247200000X CO Primary

Addresses

Primary practice location

390 Interlocken Cres
Suite 890
Broomfield, CO 80021-8038

Mailing address

390 Interlocken Cres
Suite 890
Broomfield, CO 80021-8038
Phone (720) 407-2700

National Provider Directory

National Provider Directory
Part of
Pronerve LLC

Locations

390 Interlocken Cres
Ste 890
Broomfield, CO 80021
Phone (720) 407-2700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1033399191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 INTERLOCKEN CRES",
            "address_2": "SUITE 890",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218038",
            "telephone_number": "720-407-2700",
            "fax_number": "303-339-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 INTERLOCKEN CRES",
            "address_2": "SUITE 890",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218038",
            "telephone_number": "720-407-2700",
            "fax_number": "303-339-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SOUTH INTRAOPERATIVE MONITORING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRONERVE",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "CALLEJAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "303-339-1499"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.