Organization Active NPI

Spine Cin of Denver LLC

  • Orthopaedic Surgery Physician
  • Lakewood, CO
National Provider Identifier
1033617394
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.