Individual provider Active NPI

Freddie Joseph Bonilla Lamboy, DC

  • Chiropractor
  • Thornton, CO
National Provider Identifier
1063397610
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008953 Issued in CO
Practice address
550 Thornton Pkwy Unit 178
Thornton, CO 80229-2166
Phone
(303) 254-8430
NPI assigned
Aug 11, 2025
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008953 CO Primary

Addresses

Primary practice location

550 Thornton Pkwy Unit 178
Thornton, CO 80229-2166

Mailing address

475 Timm Way Apt I204
Longmont, CO 80504-2185
Phone (787) 298-8940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024001171 CO Practitioner - Chiropractic 1951899525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5445 DTC Pkwy
Suite 1130
Greenwood Village, CO 80111-3059

550 Thornton Pkwy
Unit 178
Thornton, CO 80229-2100

550 Thornton Pkwy
Unit 178
Thornton, CO 80229-2166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008953COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Plus, PC Chiropractor CurrentSince Aug 17, 2025 Accepting new patients

Locations

550 Thornton Pkwy
Unit 178
Thornton, CO 80229
Phone (303) 254-8430

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1063397610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TIMM WAY APT I204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042185",
            "telephone_number": "787-298-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY UNIT 178",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292166",
            "telephone_number": "303-254-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA LAMBOY",
        "first_name": "FREDDIE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.