Individual provider Active NPI

Mary Testarmata, D.C.

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1023430964
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3229 Issued in CO
Practice address
2821 Lee Hill Dr
Boulder, CO 80302-9413
Phone
(303) 444-0422
NPI assigned
Jan 13, 2014
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3229 CO Primary

Addresses

Primary practice location

2821 Lee Hill Dr
Boulder, CO 80302-9413

Mailing address

2821 Lee Hill Dr
Boulder, CO 80302-9413
Phone (303) 444-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1023430964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 LEE HILL DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029413",
            "telephone_number": "303-444-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 LEE HILL DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029413",
            "telephone_number": "303-444-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTARMATA",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3229",
            "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 Jan 13, 2014; 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.