Individual provider Active NPI

Perry Lynn Haney, M.D., D.C.

  • Interventional Pain Medicine Physician
  • Lone Tree, CO
National Provider Identifier
1770662959
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
32744 Issued in CO
Practice address
8500 Park Meadows Drive
Suite 200
Lone Tree, CO 80124-2700
Phone
(303) 367-2225
Fax
(303) 951-7492
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC13789 CO
Orthopaedic Surgery of the Spine Physician 207XS0117X 32744 CO
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 32744 CO
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 32744 CO
Interventional Pain Medicine Physician 208VP0014X 32744 CO Primary

Addresses

Primary practice location

8500 Park Meadows Drive
Suite 200
Lone Tree, CO 80124-2700

Mailing address

8500 Park Meadows Drive
Suite 200
Lone Tree, CO 80124-2700
Phone (303) 367-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000553 CO Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5496776510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC13789COMDChiropractor
32744COMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spineone, PLLC CurrentSince Nov 1, 2005 Accepting new patients

Locations

8500 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 951-7510

8500 Park Meadows Dr
Lone Tree, CO 80124
Phone (303) 367-2225

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1770662959",
    "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": "801242700",
            "telephone_number": "303-367-2225",
            "fax_number": "303-951-7492"
        },
        {
            "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": "801242700",
            "telephone_number": "303-367-2225",
            "fax_number": "303-951-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "PERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "DC13789",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "32744",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "32744",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "32744",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "32744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.