Organization Active NPI

Telespine Inc

  • Health Educator
  • Boulder, CO
National Provider Identifier
1710513981
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
TELESPINE INC
Practice address
2516 Broadway St Ste 100
Boulder, CO 80304-4247
Phone
(720) 696-0906
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Dallas Hendricks
Title
Director Operations
Phone
(720) 696-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

2516 Broadway St Ste 100
Boulder, CO 80304-4247

Mailing address

2516 Broadway St Ste 100
Boulder, CO 80304-4247

National Provider Directory

National Provider Directory

Locations

2516 Broadway St
Ste 100
Boulder, CO 80304
Phone (720) 696-0906

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1710513981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 BROADWAY ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 BROADWAY ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044247",
            "telephone_number": "720-696-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELESPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "720-696-0906"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.