Active NPI
Jacqueline Lee Berens, D.C.
- Chiropractor
- Englewood, CO
National Provider Identifier
1063782852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0006796
- Practice address
- 8 Inverness Dr E Ste 260
Englewood, CO 80112-5656 - Phone
- (303) 668-2103
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR-6796 | CO | |
| Chiropractor | 111N00000X | 0006796 | CO | Primary |
Addresses
Primary practice location
8 Inverness Dr E Ste 260
Englewood, CO 80112-5656
Mailing address
8 Inverness Dr E Ste 260
Englewood, CO 80112-5656
Phone (303) 668-2103
Other practice location 1
5066 S Wadsworth Way
Littleton, CO 80123-1254
Phone (303) 668-2103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6796 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 0006796 | CO | MD | Chiropractor |
| CHR-6796 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1063782852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 INVERNESS DR E STE 260",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125656",
"telephone_number": "303-668-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 INVERNESS DR E STE 260",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125656",
"telephone_number": "303-668-2103"
}
],
"practiceLocations": [
{
"address_1": "5066 S Wadsworth Way",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801231254",
"country_code": "US",
"telephone_number": "303-668-2103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERENS",
"first_name": "JACQUELINE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR-6796",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "0006796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.