Organization Active NPI

Castle Pines Surgical

  • Registered Nurse First Assistant
  • Castle Rock, CO
National Provider Identifier
1831421973
Registry record updated Jan 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
125255 Issued in CO
Legal business name
CASTLE PINES SURGICAL
Practice address
761 Briar Haven Dr
Castle Rock, CO 80108-5507
Phone
(720) 244-8092
NPI assigned
Jan 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2010

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

Authorized official

Name
Mr. Douglas Shawn Hanley
Title
Rnfa
Phone
(720) 244-8092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X 125255 CO Primary

Addresses

Primary practice location

761 Briar Haven Dr
Castle Rock, CO 80108-5507

Mailing address

761 Briar Haven Dr
Castle Rock, CO 80108-5507
Phone (720) 244-8092

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264809600000",
    "number": "1831421973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 BRIAR HAVEN DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801085507",
            "telephone_number": "720-244-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 BRIAR HAVEN DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801085507",
            "telephone_number": "720-244-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE PINES SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-30",
        "last_updated": "2010-01-30",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "720-244-8092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CO",
            "license": "125255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2010; 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.