ROOT NEURODIAGNOSTICS (NPI# 1760809040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760809040 |
| Entity Type | Organization |
| Organization Name | ROOT NEURODIAGNOSTICS |
| Practice Address |
4131 Zenobia St Denver CO 80212-2235 |
| Mailing Address |
Po Box 1288 Crosby TX 77532-1288 |
| Practice Telephone | 2813245660 |
| Practice Fax Number | 2813245679 |
| Mailing Telephone | 2813245660 |
| Mailing Fax Number | 2813245679 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-06-16 |
| Authorized Official Name | TYLER ROOT (OWNER) |
| Authorized Official Telephone | 2813245660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Root Neurodiagnostics LLC | Po Box 9175, Denver, CO 80209 |
| Street Address |
4131 ZENOBIA ST |
| City | DENVER |
| State | CO |
| Zip Code | 80212-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770809220 | Kenna Brooke Barber | Naturopath | 4131 Zenobia St, Denver, CO 80212-2235 | 2010-04-08 |
| 1528485810 | Kenton Reading Associates | Psychiatry & Neurology | 4131 Zenobia St, Denver, CO 80212-2235 | 2014-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
| 1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
| 1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
| 1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
| 1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
| Find all providers in zip 80212 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1689042699 | Red State Reading | Specialist/Technologist, Other | 4600 S Ulster St Ste 1225, Denver, CO 80237-2696 | 2015-09-08 |
| 1871891457 | Kcm Neuromonitoring, LLC | Specialist/Technologist, Other | 1919 S Pearl St, Denver, CO 80210-4040 | 2011-03-07 |
| 1962710871 | Elite Neuromonitoring | Specialist/Technologist, Other | 3720 Newton St, Denver, CO 80211 | 2010-09-14 |
| 1861709271 | Thomas Niles Rubinson | Specialist/Technologist, Other | 2349 Glenarm Place, Denver, CO 80205 | 2010-09-07 |
| 1831334309 | Carmen Herrboldt | Specialist/Technologist, Other | 4500 S. Monaco St. Apt 734, Denver, CO 80237 | 2008-12-11 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1053585174 | Brent Jeffrey Nienaber | Specialist/Technologist, Other | 6669 Morrison Dr, Denver, CO 80221 | 2008-04-18 |
| 1598951386 | Dianne Catherine Bunney Gallegos | Specialist/Technologist, Other | 1666 S Stuart St, Denver, CO 80219-4457 | 2007-09-14 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.