Organization Active NPI

Aegis Professional Services

  • Electroneurodiagnostic Specialist/Technologist
  • Arvada, CO
National Provider Identifier
1629413778
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
40322 Issued in CO
Legal business name
AEGIS PROFESSIONAL SERVICES
Practice address
5460 Ward Rd Ste 300
Arvada, CO 80002-1800
Phone
(303) 351-7060
Fax
(303) 395-0826
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Mr. Kristopher Culbertson, CNIM
Title
President
Phone
(303) 351-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X 40322 CO Primary

Addresses

Primary practice location

5460 Ward Rd Ste 300
Arvada, CO 80002-1800

Mailing address

5460 Ward Rd Ste 300
Arvada, CO 80002-1800
Phone (303) 351-7060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1629413778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 WARD RD STE 300",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021800",
            "telephone_number": "303-351-7060",
            "fax_number": "303-395-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 WARD RD STE 300",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021800",
            "telephone_number": "303-351-7060",
            "fax_number": "303-395-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "CULBERTSON",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-351-7060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CO",
            "license": "40322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.