Active NPI
Bogdan Stauceanu, D.C.
- Nutrition Chiropractor
- Colorado Springs, CO
National Provider Identifier
1053418012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CHR.0007715
- Practice address
- 1155 Kelly Johnson Blvd Ste 111-4TH
Colorado Springs, CO 80920-3932 - Phone
- (719) 785-4840
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CHR.0007715 | CO | Primary |
Addresses
Primary practice location
1155 Kelly Johnson Blvd Ste 111-4TH
Colorado Springs, CO 80920-3932
Mailing address
1155 Kelly Johnson Blvd Ste 111-4TH
Colorado Springs, CO 80920-3932
Phone (719) 651-9617
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007715 | CO | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4Truehealth Inc | Nutrition | Current | Accepting new patients |
Locations
1155 Kelly Johnson Blvd
Colorado Springs, CO 80920
Phone (719) 354-2582
Organizations & group practices 1
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.
NPI Registry JSON
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": []
}
Other providers in Colorado Springs, CO
Sources for this page
- 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.