Organization Active NPI

Jessica Dawn Thompson, Inc.

Doing business as Cafe' of Life

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1073934535
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JESSICA DAWN THOMPSON, INC.
Doing business as
Cafe' of Life
Practice address
202 Main St
Suite #1
Longmont, CO 80501-6080
Phone
(303) 772-8311
Fax
(303) 827-3657
NPI assigned
Dec 30, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Jessica Thompson, D.C.NPI 1073691812
Title
Owner
Phone
(303) 772-8311

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

202 Main St
Suite #1
Longmont, CO 80501-6080

Mailing address

202 Main St
Suite #1
Longmont, CO 80501-6080
Phone (303) 772-8311

Other identifiers 1

IdentifierTypeStateIssuer
1073691812OtherCOINDIVIDUAL NPI NUMBER

Other names 1

  • Cafe' of Life Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805000867 CO Part B Supplier - Clinic/Group Practice 1456578137 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1073934535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAIN ST",
            "address_2": "SUITE #1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016080",
            "telephone_number": "303-772-8311",
            "fax_number": "303-827-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAIN ST",
            "address_2": "SUITE #1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016080",
            "telephone_number": "303-772-8311",
            "fax_number": "303-827-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA DAWN THOMPSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-772-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1073691812",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cafe' of Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.