Organization Active NPI

Double DS Inc

Doing business as Peak Health Chiropractic Center

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1063429108
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DOUBLE DS INC
Doing business as
Peak Health Chiropractic Center
Practice address
9004 W 88TH Ave
Westminster, CO 80005-1586
Phone
(303) 456-5710
Fax
(303) 456-5760
NPI assigned
Aug 2, 2006
Last updated
Dec 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Ryan Matthew Diebold, D.C.NPI 1992719629
Title
Owner
Phone
(303) 456-5710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9004 W 88TH Ave
Westminster, CO 80005-1586

Mailing address

9004 W 88TH Ave
Westminster, CO 80005-1586
Phone (303) 456-5710

Other names 1

  • PEAK HEALTH CHIROPRACTIC CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060915000128 CO Part B Supplier - Clinic/Group Practice 9638174121 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CO

National Provider Directory

National Provider Directory

Locations

7878 W 80th Pl
Ste 2C
Arvada, CO 80005
Phone (303) 456-5710

9004 W 88th Ave
Westminster, CO 80005
Phone (303) 456-5710

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1063429108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 W 88TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800051586",
            "telephone_number": "303-456-5710",
            "fax_number": "303-457-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 W 88TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800051586",
            "telephone_number": "303-456-5710",
            "fax_number": "303-456-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE DS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "DIEBOLD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-456-5710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEAK HEALTH CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.