Organization Active NPI

Neurophysiologic, Inc.

  • Physiological Laboratory
  • Denver, CO
National Provider Identifier
1326372095
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEUROPHYSIOLOGIC, INC.
Practice address
1651 Quebec St
Denver, CO 80220-1963
Phone
(303) 880-1429
Fax
(303) 993-8955
NPI assigned
Sep 28, 2009
Last updated
Sep 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Ervin Caballes, C.N.I.M.NPI 1134322803
Title
President
Phone
(303) 880-1429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

1651 Quebec St
Denver, CO 80220-1963

Mailing address

1651 Quebec St
Denver, CO 80220-1963
Phone (303) 880-1429

National Provider Directory

National Provider Directory
Tax ID family
Nervesafe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1326372095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 QUEBEC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201963",
            "telephone_number": "303-880-1429",
            "fax_number": "303-993-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 QUEBEC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201963",
            "telephone_number": "303-880-1429",
            "fax_number": "303-993-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPHYSIOLOGIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "CABALLES",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-880-1429",
        "authorized_official_credential": "C.N.I.M."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.