Active NPI
Spine Consultants PC
- Orthopaedic Surgery Physician
- Aurora, CO
National Provider Identifier
1871668095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 30108
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01301084 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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.