Active NPI
Altitude Nerostimulator Services
- Medical Physician Assistant
- Centennial, CO
National Provider Identifier
1073344073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- ALTITUDE NEROSTIMULATOR SERVICES
- Practice address
- 7669 E Phillips Cir
Centennial, CO 80112-3250 - Phone
- (303) 819-7464
- NPI assigned
- Aug 12, 2024
- 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
- Christopher Jackson, PA-C
- Title
- Founder
- Phone
- (303) 819-7464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary | ||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
7669 E Phillips Cir
Centennial, CO 80112-3250
Mailing address
7669 E Phillips Cir
Centennial, CO 80112-3250
Phone (303) 819-7464
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1723420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1073344073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7669 E PHILLIPS CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123250",
"telephone_number": "303-819-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7669 E PHILLIPS CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123250",
"telephone_number": "303-819-7464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTITUDE NEROSTIMULATOR SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "303-819-7464",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.