Active NPI
Ruben Spencer, CSFA
- Surgical Assistant
- Parker, CO
National Provider Identifier
1194948901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA.0001022
- Practice address
- 9915 Stonebriar LN
Parker, CO 80134-3561 - Phone
- (303) 618-7748
- Fax
- (303) 284-4989
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA.0001022 | CO | Primary |
Addresses
Primary practice location
9915 Stonebriar LN
Parker, CO 80134-3561
Mailing address
9915 Stonebriar LN
Parker, CO 80134-3561
Phone (303) 618-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA.0001022 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1194948901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9915 STONEBRIAR LN",
"city": "PARKER",
"state": "CO",
"postal_code": "801343561",
"telephone_number": "303-618-7748",
"fax_number": "303-284-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9915 STONEBRIAR LN",
"city": "PARKER",
"state": "CO",
"postal_code": "801343561",
"telephone_number": "303-618-7748",
"fax_number": "303-284-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "RUBEN",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "SA.0001022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.