Active NPI
Allan Douglas Nanney III MD LLC
- Neurological Surgery Physician
- Monument, CO
National Provider Identifier
1366040099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- ALLAN DOUGLAS NANNEY III MD LLC
- Practice address
- 259 Beacon Lite Rd Ste 103
Monument, CO 80132-9110 - Phone
- (704) 519-9162
- NPI assigned
- Oct 14, 2020
- Last updated
- Oct 14, 2020
- 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
- Tripp Nanney, MD
- Title
- Owner/Physician
- Phone
- (704) 519-9162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
259 Beacon Lite Rd Ste 103
Monument, CO 80132-9110
Mailing address
6653 Lookout Rd # A103
Boulder, CO 80301-3362
Phone (704) 519-9162
Other names 1
- Tripp Nanney Neurosurgery
National Provider Directory
National Provider DirectoryLocations
259 Beacon Lite Rd
Ste 103
Monument, CO 80132
Phone (704) 519-9162
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.
-
- Neurological Surgery Physician
- Thornton, CO
- NPI 1013238419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602633600000",
"number": "1366040099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6653 LOOKOUT RD # A103",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013362",
"telephone_number": "704-519-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 BEACON LITE RD STE 103",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329110",
"telephone_number": "704-519-9162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLAN DOUGLAS NANNEY III MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A",
"authorized_official_last_name": "NANNEY",
"authorized_official_first_name": "TRIPP",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "704-519-9162",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tripp Nanney Neurosurgery",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.