Bogdan Stauceanu, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CHR.0007715 Issued in CO

Practice address

1155 Kelly Johnson Blvd Ste 111-4TH
Colorado Springs, CO 80920-3932

Phone

(719) 785-4840

NPI assigned

Sep 20, 2006

Last updated

Apr 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• 4Truehealth Inc

  dba 4TrueHealth Functional Center

  • Nutrition Chiropractor
  • Colorado Springs, CO
  • NPI 1689427007
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1053418012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD STE 111-4TH",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203932",
            "telephone_number": "719-651-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD STE 111-4TH",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203932",
            "telephone_number": "719-785-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUCEANU",
        "first_name": "BOGDAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "CHR.0007715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Statewide Healthcare LLC
• Statewide Healthcare LLC
• Marina C Statkevicus
• Jayne A Statler, MA, LPC
• Jack Allen Statton
• Ruth Stauffer
• Kendra Leigh Stautz, LCSW
• Kayla Staviski
• Heather Anne Stawicki, CNIM, R EEG T,R EP T
• Elizabeth J Stead, LCSW

• Nutrition Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Nutrition Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2024; 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.