NPIMap

Organization Active NPI

Grand Valley Neurology Prof LLC

  • Neurology Physician
  • Grand Junction, CO
National Provider Identifier
1093954257
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GRAND VALLEY NEUROLOGY PROF LLC
Practice address
744 Horizon CT
Ste 360
Grand Junction, CO 81506-3921
Phone
(970) 243-8328
Fax
(970) 245-7240
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Deborah Dean
Title
Office Manager
Phone
(970) 243-8328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

744 Horizon CT
Ste 360
Grand Junction, CO 81506-3921

Mailing address

PO Box 2293
Grand Junction, CO 81502-2293
Phone (970) 243-8328

National Provider Directory

National Provider Directory

Locations

744 Horizon Ct
Ste 360
Grand Junction, CO 81506
Phone (970) 243-8328

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/939/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1093954257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2293",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815022293",
            "telephone_number": "970-243-8328",
            "fax_number": "970-245-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 HORIZON CT",
            "address_2": "STE 360",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063921",
            "telephone_number": "970-243-8328",
            "fax_number": "970-245-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY NEUROLOGY PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-243-8328"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.