Organization Active NPI

New Life Chiropractic Health Center LLC

  • Chiropractor
  • Montrose, CO
National Provider Identifier
1003267055
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6202 Issued in CO
Legal business name
NEW LIFE CHIROPRACTIC HEALTH CENTER LLC
Practice address
1541 Oxbow Dr
Suite 1600
Montrose, CO 81401-4780
Phone
(970) 641-2818
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Jacob Sims, D.C.NPI 1720229941
Title
President
Phone
(970) 641-2818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6202 CO Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0007461 CO
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X

Addresses

Primary practice location

1541 Oxbow Dr
Suite 1600
Montrose, CO 81401-4780

Mailing address

1541 Oxbow Dr
Suite 1600
Montrose, CO 81401-4780
Phone (970) 641-2818

Other names 1

  • New Life Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170706000374 CO Part B Supplier - Clinic/Group Practice 5496024523 Receives reassigned benefits from 1 practitioner
Practice locations: Montrose, CO

National Provider Directory

National Provider Directory

Locations

1541 Oxbow Dr
Unit 1550
Montrose, CO 81401
Phone (970) 240-2126

1541 Oxbow Dr
Unit 1600
Montrose, CO 81401
Phone (970) 240-2126

Practitioners & affiliated clinicians

Practitioners 2

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": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1003267055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 OXBOW DR",
            "address_2": "SUITE 1600",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014780",
            "telephone_number": "970-641-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 OXBOW DR",
            "address_2": "SUITE 1600",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014780",
            "telephone_number": "970-641-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-641-2818",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007461",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.