Active NPI
Nervewatch, LLC
- Electroneurodiagnostic Specialist/Technologist
- Golden, CO
National Provider Identifier
1376972117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- NERVEWATCH, LLC
- Practice address
- 1530 Arbutus CT
Golden, CO 80401-3533 - Phone
- (281) 324-5660
- Fax
- (281) 324-5679
- NPI assigned
- Nov 2, 2013
- 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
- Mr. John Odem
- Title
- Owner
- Phone
- (303) 507-8707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
1530 Arbutus CT
Golden, CO 80401-3533
Mailing address
PO Box 1288
Crosby, TX 77532-1288
Phone (281) 324-5660
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Electroneurodiagnostic Specialist/Technologist
- Golden, CO
- NPI 1497178297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399939200000",
"number": "1376972117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "CROSBY",
"state": "TX",
"postal_code": "775321288",
"telephone_number": "281-324-5660",
"fax_number": "281-324-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 ARBUTUS CT",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804013533",
"telephone_number": "281-324-5660",
"fax_number": "281-324-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NERVEWATCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-02",
"last_updated": "2014-05-13",
"status": "A",
"authorized_official_last_name": "ODEM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-507-8707",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.