LARRY D TICE MD
NPI 1942213475
Neurological Surgery in Fruita, CO

Active since August 14, 2006
551 KOKOPELLI BLVD, SUITE I, FRUITA, CO 81521(970) 858-2580(970) 858-3211 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry D Tice Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY D TICE MD (NPI 1942213475) is an individual neurological surgery provider in Fruita, Colorado, licensed in Colorado (18565) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1942213475
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameLARRY D TICECredential: MD
Location Address551 KOKOPELLI BLVD, SUITE IFruita, CO 81521-6305
Mailing Address551 Kokopelli Blvd Unit IFruita, CO 81521-6305 · (970) 858-2580 · Fax (970) 858-3211
Fax(970) 858-3211
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateApril 23, 2014
NPI 1942213475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in CO · 18565
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
551 KOKOPELLI BLVD, Fruita, CO 81521

Other Identifiers 4

Medicaid01185651CO
Medicare UPIND23460CO
Medicare PINC806720CO
Medicare PINCOA106278CO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
551 KOKOPELLI BLVD
FRUITA, CO 81521
Physical Medicine & Rehabilitation
551 KOKOPELLI BLVD, STE J
FRUITA, CO 81521
Physician Assistant
551 KOKOPELLI BLVD
FRUITA, CO 81521
Speech-Language Pathologist
551 KOKOPELLI BLVD
FRUITA, CO 81521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Tice's NPI number?

The NPI number for Larry Tice is 1942213475. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Larry Tice located?

Larry Tice practices at 551 Kokopelli Blvd Suite I, Fruita, CO 81521. The listed phone number is (970) 858-2580.

What is Larry Tice's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Larry Tice was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.