Individual provider Active NPI

Jacqueline Lee Berens, D.C.

  • Chiropractor
  • Englewood, CO
National Provider Identifier
1063782852
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0006796 Issued in CO
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

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR-6796 CO
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
6796COMDAddiction (Substance Use Disorder) Counselor
0006796COMDChiropractor
CHR-6796COMDChiropractor

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.

Verify at the official NPI Registry.