Organization Active NPI

Z-Spine Surgical Assisting, LLC

  • Registered Nurse
  • Greenwood Village, CO
National Provider Identifier
1619101888
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
126572 Issued in CO
Legal business name
Z-SPINE SURGICAL ASSISTING, LLC
Practice address
5380 Autumn Dr
Greenwood Village, CO 80111-3424
Phone
(281) 462-1285
Fax
(281) 462-1554
NPI assigned
May 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Zac Ibrahim, M.D.
Title
Owner
Phone
(281) 462-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 126572 CO Primary

Addresses

Primary practice location

5380 Autumn Dr
Greenwood Village, CO 80111-3424

Mailing address

5380 Autumn Dr
Greenwood Village, CO 80111-3424
Phone (281) 462-1285

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1619101888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 AUTUMN DR",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113424",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 AUTUMN DR",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113424",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z-SPINE SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ZAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-462-1285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "126572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.