Organization Active NPI

Denver Sports Medicine and Spine LLC

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1881183549
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DENVER SPORTS MEDICINE AND SPINE LLC
Practice address
4700 Hale Pkwy Ste 500
Denver, CO 80220-4052
Phone
(303) 322-3863
Fax
(303) 322-3528
NPI assigned
May 8, 2018
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Mr. Yani Zinis, MDNPI 1114028495
Title
Owner
Phone
(303) 322-3863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

4700 Hale Pkwy Ste 500
Denver, CO 80220-4052

Mailing address

4700 Hale Pkwy Ste 500
Denver, CO 80220-4052
Phone (303) 322-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180618002583 CO Part B Supplier - Clinic/Group Practice 7517212426 Receives reassigned benefits from 3 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1881183549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204052",
            "telephone_number": "303-322-3863",
            "fax_number": "303-322-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204052",
            "telephone_number": "303-322-3863",
            "fax_number": "303-322-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SPORTS MEDICINE AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "ZINIS",
        "authorized_official_first_name": "YANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-322-3863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.