Organization Active NPI

JM Neurospine LLC

Doing business as Colorado Neurospine Institute

  • Neurological Surgery Physician
  • Lakewood, CO
National Provider Identifier
1841760246
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
JM NEUROSPINE LLC
Doing business as
Colorado Neurospine Institute
Practice address
1687 Cole Blvd Ste 150
Lakewood, CO 80401-3322
Phone
(719) 278-7562
NPI assigned
Nov 28, 2018
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Dr. Jacinto I Manon, MD
Title
Owner
Phone
(719) 220-4152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

1687 Cole Blvd Ste 150
Lakewood, CO 80401-3322

Mailing address

PO Box 508
Denver, CO 80201-0508
Phone (719) 278-7562

Other names 1

  • Colorado Neurospine Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1687 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 471-4690

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1841760246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802010508",
            "telephone_number": "719-278-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 COLE BLVD STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013322",
            "telephone_number": "719-278-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM NEUROSPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "MANON",
        "authorized_official_first_name": "JACINTO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-220-4152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Neurospine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Neurospine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.