Active NPI
Terrell Howard McCasland Jr., CNIM
- Electroneurodiagnostic Specialist/Technologist
- Golden, CO
National Provider Identifier
1811166010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1270
- Practice address
- 15047 W 54TH Dr
Golden, CO 80403-2915 - Phone
- (720) 308-4567
- Fax
- (303) 278-0612
- NPI assigned
- Feb 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1270 | CO | Primary |
Addresses
Primary practice location
15047 W 54TH Dr
Golden, CO 80403-2915
Mailing address
1555 S Marion St
Denver, CO 80210-2750
Phone (303) 885-5635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1270 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1811166010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 S MARION ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802102750",
"telephone_number": "303-885-5635",
"fax_number": "720-570-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15047 W 54TH DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804032915",
"telephone_number": "720-308-4567",
"fax_number": "303-278-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASLAND",
"first_name": "TERRELL",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "CO",
"license": "1270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.