Active NPI
Spine Cin of Denver LLC
- Orthopaedic Surgery Physician
- Lakewood, CO
National Provider Identifier
1033617394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPINE CIN OF DENVER LLC
- Practice address
- 255 Union Blvd Ste 150-236
Lakewood, CO 80228-1810 - Phone
- (615) 386-0064
- Fax
- (615) 386-0067
- NPI assigned
- Jan 31, 2018
- Last updated
- Jan 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hannon
- Title
- SVP, Marketing and Communications
- Phone
- (615) 386-0064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | CO | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | CO |
Addresses
Primary practice location
255 Union Blvd Ste 150-236
Lakewood, CO 80228-1810
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
Other practice location 1
2525 S Downing St
Denver, CO 80210-5817
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
255 Union Blvd
Ste 150236
Lakewood, CO 80228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1033617394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 UNION BLVD STE 150-236",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281810",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [
{
"address_1": "2525 S Downing St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802105817",
"country_code": "US",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPINE CIN OF DENVER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-31",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "HANNON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SVP, MARKETING AND COMMUNICATIONS",
"authorized_official_telephone_number": "615-386-0064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.