NPIMap

Organization Active NPI

Colorado Neuroscience Center of the Rockies, PLLC

  • Neurology Physician
  • Loveland, CO
National Provider Identifier
1902003676
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
41631 Issued in CO
Legal business name
COLORADO NEUROSCIENCE CENTER OF THE ROCKIES, PLLC
Practice address
1635 Foxtrail Dr
Suite 215
Loveland, CO 80538-9086
Phone
(970) 297-8120
Fax
(970) 776-3294
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. Terry Mark Himes, D.O.
Title
Ceo
Phone
(970) 297-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 41631 CO Primary

Addresses

Primary practice location

1635 Foxtrail Dr
Suite 215
Loveland, CO 80538-9086

Mailing address

1635 Foxtrail Dr
Suite 215
Loveland, CO 80538-9086
Phone (970) 297-8120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1902003676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 FOXTRAIL DR",
            "address_2": "SUITE 215",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389086",
            "telephone_number": "970-297-8120",
            "fax_number": "970-776-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 FOXTRAIL DR",
            "address_2": "SUITE 215",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389086",
            "telephone_number": "970-297-8120",
            "fax_number": "970-776-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NEUROSCIENCE CENTER OF THE ROCKIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "HIMES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-297-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "41631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.