Arvada Sport and Spine Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARVADA SPORT AND SPINE GROUP LLC

Practice address

12189 W 64TH Ave Ste 102
Arvada, CO 80004-4031

Phone

(303) 424-9549

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Andrew WellingNPI 1952336240

Title

President

Phone

(303) 424-9549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karin Schjelderup Blais, APN

  • Family Nurse Practitioner
  • Arvada, CO
  • NPI 1932730975

  CO

  Medicare reassignment NPD
• Andrew Craig Welling, D.C.

  • Chiropractor
  • Arvada, CO
  • NPI 1952336240
  NPD Authorized official

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1003342213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12189 W 64TH AVE STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044031",
            "telephone_number": "303-424-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12189 W 64TH AVE STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044031",
            "telephone_number": "303-424-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVADA SPORT AND SPINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "WELLING",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-424-9549"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvada Pharmacy and Medical Supply
• Arvada Ralston Medical Center
• Arvada Smiles Dentistry, LLP
• Arvada Speech Therapy
• Arvada Sport and Spine Group
• Arvada Therapy Solutions, LLC
• Arvada Therapy Solutions, LLC
• Arvada Vision & Eye Clinic, P. C.
• Arvada Womens Healthcare
• Kari Arvisais, LMFT

• All providers in Arvada, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.