Organization Active NPI

Canyon Chiropractic Center PC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1013171982
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CANYON CHIROPRACTIC CENTER PC
Practice address
2595 Canyon Blvd
Ste 240
Boulder, CO 80302-6745
Phone
(303) 402-1300
Fax
(303) 402-1310
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Aquina Rogers
Title
Billing Specialist
Phone
(303) 402-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2595 Canyon Blvd
Ste 240
Boulder, CO 80302-6745

Mailing address

2595 Canyon Blvd
Ste 240
Boulder, CO 80302-6745
Phone (303) 402-1300

National Provider Directory

National Provider Directory

Locations

2595 Canyon Blvd
Ste 240
Boulder, CO 80302
Phone (303) 402-1300

2625 28th St
Ste 100
Boulder, CO 80301
Phone (303) 402-1300

Practitioners & affiliated clinicians

Practitioners 1

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1013171982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD",
            "address_2": "STE 240",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026745",
            "telephone_number": "303-402-1300",
            "fax_number": "303-402-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD",
            "address_2": "STE 240",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026745",
            "telephone_number": "303-402-1300",
            "fax_number": "303-402-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "AQUINA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "303-402-1300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.