NPIMap

Organization Active NPI

Spineone, PLLC

  • Specialist
  • Lone Tree, CO
National Provider Identifier
1760604409
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPINEONE, PLLC
Practice address
8500 Park Meadows Drive
Suite 200
Lone Tree, CO 80124
Phone
(303) 367-2225
Fax
(303) 343-8702
NPI assigned
May 3, 2007
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Tessa Blair Kelley
Title
Coo
Phone
(303) 367-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32744 CO
Specialist 174400000X NU Primary

Addresses

Primary practice location

8500 Park Meadows Drive
Suite 200
Lone Tree, CO 80124

Mailing address

8500 Park Meadows Drive
Suite 200
Lone Tree, CO 80124
Phone (303) 367-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000819 CO Part B Supplier - Clinic/Group Practice 6406877521 Receives reassigned benefits from 34 practitioners
Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1760604409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DRIVE",
            "address_2": "SUITE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-367-2225",
            "fax_number": "303-343-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DRIVE",
            "address_2": "SUITE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-367-2225",
            "fax_number": "303-343-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEONE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "TESSA",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-367-2225"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "32744",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.