Jacob Glenn Fletcher, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6506 Issued in CO

Practice address

1990 Wadsworth Blvd
Suite #2
Lakewood, CO 80214-5287

Phone

(303) 238-6500

Fax

(303) 238-6509

NPI assigned

May 4, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Shepard - Mehaffey, LLC

  • Chiropractor
  • Lakewood, CO
  • NPI 1114197233
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1033436852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 WADSWORTH BLVD",
            "address_2": "SUITE #2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145287",
            "telephone_number": "303-238-6500",
            "fax_number": "303-238-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WADSWORTH BLVD",
            "address_2": "SUITE #2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145287",
            "telephone_number": "303-238-6500",
            "fax_number": "303-238-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JACOB",
        "middle_name": "GLENN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6506",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CO",
            "license": "6506",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CO",
            "license": "6506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flatirons Recovery Center, LLC
• Fleetwood Enterprises, LLC
• Kristi Dey Flegal
• Hailey Rose Fleishman, MA CCC-SLP
• Jennifer Hickam Flenniken, CCC-SLP
• Flexcare Infusion Okc, LLC
• Flippin Foot and Ankle LLC
• Mitchell Flippin, D.P.M
• Stefanie Ann Flippin, D.P.M.
• Patricia J Flood-Speidel, M.D.

• Chiropractor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.