Organization Active NPI

Alpine Neurology, PC

  • Neurology Physician
  • Centennial, CO
National Provider Identifier
1093906760
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
32094 Issued in CO
Legal business name
ALPINE NEUROLOGY, PC
Practice address
13111 E Briarwood Ave Ste 200
Centennial, CO 80112-3846
Phone
(303) 493-1922
NPI assigned
Aug 7, 2007
Last updated
Oct 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Mrs. Lee Russo
Title
Billing Manager
Phone
(303) 839-6279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 32094 CO Primary

Addresses

Primary practice location

13111 E Briarwood Ave Ste 200
Centennial, CO 80112-3846

Mailing address

1601 E 19TH Ave
Suite 4400
Denver, CO 80218-1216
Phone (303) 839-6279

National Provider Directory

National Provider Directory

Locations

14000 E Arapahoe Rd
Ste 350
Centennial, CO 80112
Phone (303) 493-1922

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1093906760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 4400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-839-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123846",
            "telephone_number": "303-493-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "303-839-6279",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "32094",
            "primary": true
        }
    ],
    "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 Oct 11, 2017; 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.