Individual provider Active NPI

Tiffany Pointon, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Castle Rock, CO
National Provider Identifier
1073044509
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
DR.0068831 Issued in CO
Practice address
4933 Trails Edge LN
Castle Rock, CO 80104-7333
Phone
(720) 939-4909
NPI assigned
Mar 26, 2017
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914002978 CO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1658645601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0068831COMDNeurology 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

Verify at the official NPI Registry.