NPI Code Detail JSON Logo

1609297969 NPI number — SPINE RE-NEW LLC

NPI Number: 1609297969
Health Care Provider/Practitioner: SPINE RE-NEW LLC

Information about “1609297969” NPI (SPINE RE-NEW LLC) exists in 1609297969 in HTML format HTML  |  1609297969 in plain Text format TXT  |  1609297969 in PDF (Portable Document Format) PDF  |  1609297969 in an XML format XML  formats.

NPI Number : 1609297969 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609297969",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPINE RE-NEW LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7200 E DRY CREEK RD",
    "SecondLineMailingAddress": "A101",
    "MailingAddressCityName": "CENTENNIAL",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80112-2537",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-351-3590",
    "MailingAddressFaxNumber": "303-552-2078",
    "FirstLinePracticeLocationAddress": "7200 E DRY CREEK RD",
    "SecondLinePracticeLocationAddress": "A101",
    "PracticeLocationAddressCityName": "CENTENNIAL",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80112-2537",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-351-3590",
    "PracticeLocationAddressFaxNumber": "303-552-2078",
    "EnumerationDate": "01/03/2014",
    "LastUpdateDate": "11/29/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BERLENER",
    "AuthorizedOfficialFirstName": "BRIAN",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "CHIROPRACTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "303-351-3590",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "6253",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.