Organization Active NPI

Transformation Chiropractic & Wellness Center LLC

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1073930731
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR7006 Issued in CO
Legal business name
TRANSFORMATION CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
2501 Blichman Ave
Suite 110
Grand Junction, CO 81505-1092
Phone
(970) 812-5559
Fax
(888) 972-6051
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Andrea Jordheim, D.C.
Title
Managing Member
Phone
(970) 812-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR7006 CO Primary

Addresses

Primary practice location

2501 Blichman Ave
Suite 110
Grand Junction, CO 81505-1092

Mailing address

2501 Blichman Ave
Suite 110
Grand Junction, CO 81505-1092
Phone (970) 812-5559

National Provider Directory

National Provider Directory

Locations

2501 Blichmann Ave
Ste 110
Grand Junction, CO 81505
Phone (970) 812-5559

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1073930731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BLICHMAN AVE",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051092",
            "telephone_number": "970-812-5559",
            "fax_number": "888-972-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BLICHMAN AVE",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051092",
            "telephone_number": "970-812-5559",
            "fax_number": "888-972-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "JORDHEIM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "970-812-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR7006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.