Organization Active NPI

Spine Consultants PC

  • Orthopaedic Surgery Physician
  • Aurora, CO
National Provider Identifier
1871668095
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30108 Issued in CO
Legal business name
SPINE CONSULTANTS PC
Practice address
1400 S Potomac St
Suite 210
Aurora, CO 80012-4528
Phone
(303) 873-5800
Fax
(303) 671-4968
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Mr. Jeffrey Bruce Kleiner, MD
Title
Owner MD
Phone
(303) 873-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 30108 CO Primary

Addresses

Primary practice location

1400 S Potomac St
Suite 210
Aurora, CO 80012-4528

Mailing address

1400 S Potomac St
Suite 210
Aurora, CO 80012-4528
Phone (303) 873-5800

Other identifiers 1

IdentifierTypeStateIssuer
01301084MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1871668095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST",
            "address_2": "SUITE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124528",
            "telephone_number": "303-873-5800",
            "fax_number": "303-671-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST",
            "address_2": "SUITE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124528",
            "telephone_number": "303-873-5800",
            "fax_number": "303-671-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "KLEINER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "303-873-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "30108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01301084",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.