Denver Neurodiagnostics, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

DENVER NEURODIAGNOSTICS, LLC

Practice address

6669 Morrison Dr
Denver, CO 80221-2660

Phone

(303) 803-4004

Fax

(303) 302-1591

NPI assigned

Apr 28, 2014

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Jeffrey Nienaber, CNIMNPI 1053585174

Title

Owner

Phone

(303) 803-4004

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Jeffrey Nienaber, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Denver, CO
  • NPI 1053585174
  NPD Authorized official

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1316357577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6669 MORRISON DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212660",
            "telephone_number": "303-803-4004",
            "fax_number": "303-302-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6669 MORRISON DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212660",
            "telephone_number": "303-803-4004",
            "fax_number": "303-302-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "NIENABER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-803-4004",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Denver, CO
• Providers in Denver, CO by specialty
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.