Gonstead Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4777 Issued in CO

Legal business name

GONSTEAD FAMILY CHIROPRACTIC

Practice address

4275 Harlan St
Wheat Ridge, CO 80033-5119

Phone

(303) 940-7167

Fax

(303) 940-7258

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Coralyn Wall

Title

President

Phone

(303) 940-7167

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1093033706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335119",
            "telephone_number": "303-940-7167",
            "fax_number": "303-940-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335119",
            "telephone_number": "303-940-7167",
            "fax_number": "303-940-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONSTEAD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CORALYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-940-7167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Goldstein, LPCC
• Mallory Gollick
• Emily Maria Gomez, PHARMD
• Abigail Gonci
• Patricia Ellen Gonske, LPC
• Catherine Birtha Gonzales, PTA
• Daisy Elizabeth Gonzalez-Martinez
• Alexea Lanyce Gonzalez
• Annabel Gonzalez
• Rene Magdaleno Gonzalez

• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.