NPIMap

Organization Active NPI

Spinebodyspirit PLLC

  • Chiropractor
  • Englewood, CO
National Provider Identifier
1013629922
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINEBODYSPIRIT PLLC
Practice address
88 Inverness Cir E Unit I108
Englewood, CO 80112-5515
Phone
(602) 616-1602
NPI assigned
Dec 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Dr. Adrienne M Frazer, DCNPI 1417156340
Title
Owner, Doctor
Phone
(602) 616-1602

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 1

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

Addresses

Primary practice location

88 Inverness Cir E Unit I108
Englewood, CO 80112-5515

Mailing address

88 Inverness Cir E Unit I108
Englewood, CO 80112-5515
Phone (602) 616-1602

Other identifiers 2

IdentifierTypeStateIssuer
17-186-9686OtherCODRIVER LICENSE
CHR0008503OtherCOCOLORADO CHIROPRACTIC BOARD

Other names 1

  • SpineBodySpirit PLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Fraser Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1013629922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E UNIT I108",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125515",
            "telephone_number": "602-616-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E UNIT I108",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125515",
            "telephone_number": "602-616-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEBODYSPIRIT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "602-616-1602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "17-186-9686",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO CHIROPRACTIC BOARD",
            "identifier": "CHR0008503",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineBodySpirit PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.