MFCC Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3478 Issued in CO

Legal business name

MFCC CORP.

Practice address

3560 S Bannock St
Englewood, CO 80110-3626

Phone

(303) 797-8850

Fax

(303) 797-1378

NPI assigned

Nov 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gregory W Mortimer, D.C.NPI 1376746149

Title

Owner

Phone

(303) 797-8850

Specialties & licenses 1

Addresses

Other names 1

• FSP FAMILY WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory W Mortimer, DC

  • Chiropractor
  • Englewood, CO
  • NPI 1376746149
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1063740397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S BANNOCK ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801103626",
            "telephone_number": "303-797-8850",
            "fax_number": "303-797-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 S BANNOCK ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801103626",
            "telephone_number": "303-797-8850",
            "fax_number": "303-797-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFCC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "MORTIMER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-797-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSP FAMILY WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Ariel Metzl, M.D.
• Brandon Christopher Meyer
• Christine Marie Meyer
• Rachel Meyer, OTR/L
• Shelley Anne Meyer, PT, DPT, CLT-LANA
• Matthew K. Mian, MD
• Dana Dee Michaan, PA
• Michael Eric Perry MD PC
• Michael L Hall,M.D, P.C.
• Michael Len Craun, M.D. PC

• Chiropractor in Englewood, CO
• Providers in Englewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.