Organization Active NPI

Duggan Chiropractic P.C.

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1053678110
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2471 Issued in CO
Legal business name
DUGGAN CHIROPRACTIC P.C.
Practice address
2439 Broadway St
Boulder, CO 80304-4108
Phone
(303) 443-1553
Fax
(303) 443-8069
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Edward Eugene Duggan, D.C.
Title
Owner / President
Phone
(303) 443-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2471 CO Primary

Addresses

Primary practice location

2439 Broadway St
Boulder, CO 80304-4108

Mailing address

2439 Broadway St
Boulder, CO 80304-4108
Phone (303) 443-1553

Other names 1

  • Duggan Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

2439 Broadway St
Boulder, CO 80304
Phone (303) 359-9278

Practitioners & affiliated clinicians

Practitioners 1

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": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1053678110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044108",
            "telephone_number": "303-443-1553",
            "fax_number": "303-443-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044108",
            "telephone_number": "303-443-1553",
            "fax_number": "303-443-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUGGAN CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "303-443-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duggan Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.