Organization Active NPI

Chase Chiropractic Clinic LLC

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1023363124
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6804 Issued in CO
Legal business name
CHASE CHIROPRACTIC CLINIC LLC
Practice address
5353 W Dartmouth Ave
408
Denver, CO 80227-5515
Phone
(720) 379-3319
Fax
(303) 954-9993
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Dr. Chase Malhiot, D.C.NPI 1376898478
Title
President/Owner
Phone
(720) 379-3319

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
Clinic/Center 261Q00000X 6804 CO Primary

Addresses

Primary practice location

5353 W Dartmouth Ave
408
Denver, CO 80227-5515

Mailing address

5353 W Dartmouth Ave
408
Denver, CO 80227-5515
Phone (720) 379-3319

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000699 CO Part B Supplier - Clinic/Group Practice 7618123746 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

5353 W Dartmouth Ave
Ste 408
Denver, CO 80227
Phone (720) 379-3319

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": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1023363124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 W DARTMOUTH AVE",
            "address_2": "408",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802275515",
            "telephone_number": "720-379-3319",
            "fax_number": "303-954-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 W DARTMOUTH AVE",
            "address_2": "408",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802275515",
            "telephone_number": "720-379-3319",
            "fax_number": "303-954-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "MALHIOT",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "720-379-3319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "6804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.