NPIMap

Organization Active NPI

Neurosurgery One PC

  • Neurological Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1427488121
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
36243 Issued in CO
Legal business name
NEUROSURGERY ONE PC
Practice address
9980 Park Meadows Dr Ste 101
Lone Tree, CO 80124-8404
Phone
(720) 638-7500
Fax
(720) 583-6770
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Dr. J Adair Prall, M.D.
Title
Owner
Phone
(720) 638-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 36243 CO Primary

Addresses

Primary practice location

9980 Park Meadows Dr Ste 101
Lone Tree, CO 80124-8404

Mailing address

950 E Harvard Ave
Suite 570
Denver, CO 80210-7009
Phone (720) 638-7500

Other names 1

  • NSO APP Lone Tree Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121107000531 CO Part B Supplier - Clinic/Group Practice 8022269612 Receives reassigned benefits from 28 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westminster, CO; Parker, CO; Lakewood, CO; Lone Tree, CO; Littleton, CO; Castle Rock, CO; Highlands Ranch, CO

Other NPIs on the same Medicare enrollment 37

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 37

National Provider Directory

National Provider Directory
Tax ID family
Neurosurgery One PC34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1427488121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "SUITE 570",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107009",
            "telephone_number": "720-638-7500",
            "fax_number": "720-583-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 PARK MEADOWS DR STE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248404",
            "telephone_number": "720-638-7500",
            "fax_number": "720-583-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY ONE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "PRALL",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ADAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-638-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "36243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSO APP Lone Tree",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.

Verify at the official NPI Registry.