Individual provider Active NPI

Joel A. Clipperton, R. EEG T., CLTM

  • Electroneurodiagnostic Specialist/Technologist
  • Denver, CO
National Provider Identifier
1972742120
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
4505 Issued in IL
Practice address
7557 E Warren Cir Apt 5-108
Denver, CO 80231-5346
Phone
(949) 238-4887
NPI assigned
Feb 11, 2009
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X 4505 IL
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 4505 IL Primary

Addresses

Primary practice location

7557 E Warren Cir Apt 5-108
Denver, CO 80231-5346

Mailing address

7557 E Warren Cir Apt 5-108
Denver, CO 80231-5346
Phone (949) 238-4887

Other practice location 1

13123 E 16th Ave
B370
Aurora, CO 80045-7106
Phone (720) 777-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4505ILMDElectroneurodiagnostic Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1972742120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 E WARREN CIR APT 5-108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315346",
            "telephone_number": "949-238-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 E WARREN CIR APT 5-108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315346",
            "telephone_number": "949-238-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave",
            "address_2": "B370",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIPPERTON",
        "first_name": "JOEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "R. EEG T., CLTM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "IL",
            "license": "4505",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "IL",
            "license": "4505",
            "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 Sep 12, 2018; 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.