Individual provider Active NPI

Frederico Vincente Pacheco, D.C.

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1053670752
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6845 Issued in CO
Practice address
8089 S Lincoln St
Suite 206
Littleton, CO 80122-2700
Phone
(303) 955-0555
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6845 CO Primary

Addresses

Primary practice location

8089 S Lincoln St
Suite 206
Littleton, CO 80122-2700

Mailing address

8089 S Lincoln St
Suite 206
Littleton, CO 80122-2700
Phone (303) 955-0555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120920000410 CO Practitioner - Chiropractic 9638327430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19751 E Mainstreet
Suite R10
Parker, CO 80138-7406
Phone (720) 878-2422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6845COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacheco Chiropractic and Wellness LLC Chiropractor CurrentSince Jun 13, 2012 Accepting new patients
Summit Chiropractic Clinic of South Denver, Inc Chiropractor PastSince Dec 11, 2017 Accepting new patients

Locations

8089 S Lincoln St
Ste 206
Littleton, CO 80122
Phone (303) 955-0555

19751 E Mainstreet
Ste R10
Parker, CO 80138
Phone (719) 216-3866

Organizations & group practices 2

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1053670752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8089 S LINCOLN ST",
            "address_2": "SUITE 206",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222700",
            "telephone_number": "303-955-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 S LINCOLN ST",
            "address_2": "SUITE 206",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222700",
            "telephone_number": "303-955-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "FREDERICO",
        "middle_name": "VINCENTE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.