Active NPI
Mountain States Neurology, PC
- Specialist
- Englewood, CO
National Provider Identifier
1942237136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MOUNTAIN STATES NEUROLOGY, PC
- Practice address
- 701 E Hampden Ave Suite #530
Englewood, CO 80113 - Phone
- (303) 788-4600
- NPI assigned
- Jun 26, 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
- Linda Millazzo
- Title
- Practice Administrator
- Phone
- (303) 762-6666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
701 E Hampden Ave Suite #530
Englewood, CO 80113
Mailing address
701 E Hampden Ave Suite #530
Englewood, CO 80113
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4012126 | Medicaid | CO | |
| 1053305656 | Other | CO | NPI |
| 1245223296 | Other | CO | NPI |
| 1457345753 | Other | CO | NPI |
| 1255324208 | Other | CO | NPI |
| 1346233384 | Other | CO | NPI |
| 1417940453 | Other | CO | NPI |
| 1790778744 | Other | CO | NPI |
| 1003800301 | Other | CO | NPI |
| 1457345746 | Other | CO | NPI |
Other names 1
- COLORADO NEUROLOGY, PC
National Provider Directory
National Provider DirectoryPractitioners & 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": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1942237136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E HAMPDEN AVE SUITE #530",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "80113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E HAMPDEN AVE SUITE #530",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "80113",
"telephone_number": "303-788-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN STATES NEUROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MILLAZZO",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "303-762-6666"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4012126",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1053305656",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1245223296",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1457345753",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255324208",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346233384",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1417940453",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790778744",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003800301",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1457345746",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COLORADO NEUROLOGY, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Mountain View Dental LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.