Active NPI
Colorado Center for Neuroscience, PC
- Neurology Physician
- Colorado Springs, CO
National Provider Identifier
1295916989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- COLORADO CENTER FOR NEUROSCIENCE, PC
- Practice address
- 1715 N Weber St # 100
Colorado Springs, CO 80907-7524 - Phone
- (719) 955-6481
- Fax
- (719) 227-9013
- NPI assigned
- Nov 21, 2007
- 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
- Anne Kelly
- Title
- Billing
- Phone
- (719) 955-6481
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1715 N Weber St # 100
Colorado Springs, CO 80907-7524
Mailing address
1715 N Weber St # 100
Colorado Springs, CO 80907-7524
Phone (719) 955-6481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7680 Goddard St
Ste 212
Colorado Springs, CO 80920
Phone (719) 800-1098
1715 N Weber St
Ste 100
Colorado Springs, CO 80907
Phone (719) 633-5660
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Colorado Springs, CO
- NPI 1558466144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1295916989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 N WEBER ST # 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077524",
"telephone_number": "719-955-6481",
"fax_number": "719-227-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 N WEBER ST # 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077524",
"telephone_number": "719-955-6481",
"fax_number": "719-227-9013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO CENTER FOR NEUROSCIENCE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-21",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "719-955-6481"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Colonial Health and Rehabilitation Center LLC
- Colonial Rehabilitation and Nursing, LLC
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- Colorado Athletic Conditioning Clinic Lowry Professional LLC
- Colorado Cardiac Alliance, LLC
- Colorado Center for Otolaryngology, Professional LLC
- Colorado Center for Pain and Wellness, PLLC
- Colorado Center of Orthopaedic Excellence Inc
- Colorado Christian University
- Colorado Christian University Community Counseling Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.