Active NPI
Tiffany Pointon, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Castle Rock, CO
National Provider Identifier
1073044509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- DR.0068831
- Practice address
- 4933 Trails Edge LN
Castle Rock, CO 80104-7333 - Phone
- (720) 939-4909
- NPI assigned
- Mar 26, 2017
- Last updated
- Mar 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | DR.0068831 | CO | Primary |
Addresses
Primary practice location
4933 Trails Edge LN
Castle Rock, CO 80104-7333
Mailing address
4933 Trails Edge LN
Castle Rock, CO 80104-7333
Phone (720) 939-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170914002978 | CO | Order and Referring Only - Pediatric Medicine | 1658645601 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0068831 | CO | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1073044509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4933 TRAILS EDGE LN",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801047333",
"telephone_number": "720-939-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 TRAILS EDGE LN",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801047333",
"telephone_number": "720-939-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POINTON",
"first_name": "TIFFANY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-26",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CO",
"license": "DR.0068831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.