Denver Sport & Spine, LLC

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

CHR.0005662 Issued in CO

Legal business name

DENVER SPORT & SPINE, LLC

Practice address

3900 S Wadsworth Blvd
Suite 325
Lakewood, CO 80235-2203

Phone

(303) 634-2975

Fax

(303) 634-2976

NPI assigned

Jul 18, 2014

Last updated

Jul 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Andrew Gridley, D.C.

Title

Owner

Phone

(303) 634-2975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1033526389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S WADSWORTH BLVD",
            "address_2": "SUITE 325",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352203",
            "telephone_number": "303-634-2975",
            "fax_number": "303-634-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S WADSWORTH BLVD",
            "address_2": "SUITE 325",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352203",
            "telephone_number": "303-634-2975",
            "fax_number": "303-634-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SPORT & SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "GRIDLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-634-2975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CO",
            "license": "CHR.0005662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.