Mile High Spine and Pain Clinic Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

DR,0026309 Issued in CO

Legal business name

MILE HIGH SPINE AND PAIN CLINIC INC.

Practice address

7940 S University Blvd
Suite 110
Centennial, CO 80122-5104

Phone

(303) 927-6181

Fax

(720) 379-5827

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Jae Hyeong Jeon, P.T., D.P.T.NPI 1447292883

Title

Owner

Phone

(720) 401-8156

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jae Hyeong Jeon, P.T

  • Physical Therapist
  • Aurora, CO
  • NPI 1447292883
  NPD Authorized official

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1649657933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 S UNIVERSITY BLVD",
            "address_2": "SUITE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801225104",
            "telephone_number": "303-927-6181",
            "fax_number": "720-379-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 S UNIVERSITY BLVD",
            "address_2": "SUITE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801225104",
            "telephone_number": "303-927-6181",
            "fax_number": "720-379-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH SPINE AND PAIN CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "JAE HYEONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-401-8156",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR,0026309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kathleen Michel
• Justin Michener, PH.D.
• Martha Cronin Middlemist, MD
• Cory L Miglizzi, CMT LMT
• David Jordan Milchiker
• Milehigh Ride LLC
• Morgan Milewski
• Debbie Milkes
• Alexandria Christine Miller
• Amy Kay Miller, DMD

• Anesthesiology Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.