Active NPI
Aegis Professional Services
- Electroneurodiagnostic Specialist/Technologist
- Arvada, CO
National Provider Identifier
1629413778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 40322
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 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 DirectoryNPI 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.