South Denver Neurosurgery Assistance, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH DENVER NEUROSURGERY ASSISTANCE, LLC

Practice address

777 Williams St
Denver, CO 80209

Phone

(281) 462-1285

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

David Vansickle

Title

Owner

Phone

(281) 462-1285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1194014233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "281-462-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENVER NEUROSURGERY ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "VANSICKLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-462-1285"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra N Sousa, RN, FNP-C
• Cindy Lynn Souser
• South Denver Dental Group LLP
• South Denver Nephrology Associates PLLC
• South Denver Neuromonitoring
• South Federal Dental GP PC
• South Federal Dental Partners PLLC
• South Federal Family Practice
• South Logan Family Practice
• South Logan Family Practice Center

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.