Organization Active NPI

Dr J Chiropractic LLC

  • Clinic/Center
  • Aurora, CO
National Provider Identifier
1043551112
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHR.0006950 Issued in CO
Legal business name
DR J CHIROPRACTIC LLC
Practice address
18757 E Hampden Ave Ste 152
Aurora, CO 80013-3586
Phone
(303) 766-9626
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Colby S Johnson, D.C., M.S.N.NPI 1699013466
Title
Owner
Phone
(303) 888-4932

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 CHR.0006950 CO Primary

Addresses

Primary practice location

18757 E Hampden Ave Ste 152
Aurora, CO 80013-3586

Mailing address

9128 E Star Hill TRL
Lone Tree, CO 80124-5410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131029000693 CO Part B Supplier - Clinic/Group Practice 6002041092 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, CO

National Provider Directory

National Provider Directory

Locations

18757 E Hampden Ave
Ste 152
Aurora, CO 80013
Phone (303) 766-9626

12155 Lioness Way
Unit 103
Parker, CO 80134
Phone (303) 500-7755

Practitioners & affiliated clinicians

Practitioners 2

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": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1043551112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 E STAR HILL TRL",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18757 E HAMPDEN AVE STE 152",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133586",
            "telephone_number": "303-766-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR J CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-888-4932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S.N."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "CHR.0006950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.