Organization Active NPI

Clancey Chiropractic, PC

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1083799555
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2390 Issued in CO
Legal business name
CLANCEY CHIROPRACTIC, PC
Practice address
195 S Main St
Suite #1
Longmont, CO 80501-5780
Phone
(303) 651-2060
Fax
(303) 651-9701
NPI assigned
Oct 25, 2006
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Douglas A Clancey, DCNPI 1386724177
Title
President
Phone
(303) 651-2060

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 2390 CO Primary

Addresses

Primary practice location

195 S Main St
Suite #1
Longmont, CO 80501-5780

Mailing address

195 S Main St
Suite #1
Longmont, CO 80501-5780
Phone (303) 651-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909000363 CO Part B Supplier - Clinic/Group Practice 4183690225 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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1083799555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST",
            "address_2": "SUITE #1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015780",
            "telephone_number": "303-651-2060",
            "fax_number": "303-651-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST",
            "address_2": "SUITE #1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015780",
            "telephone_number": "303-651-2060",
            "fax_number": "303-651-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANCEY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "CLANCEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-651-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 18, 2008; 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.