Individual provider Active NPI

Christopher Fabijanic, L.AC.,NCCAOM

  • Acupuncturist
  • Glenwood Springs, CO
National Provider Identifier
1093954638
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1140 Issued in CO
Practice address
3950 Midland Ave Ste 3
Glenwood Springs, CO 81601-4605
Phone
(970) 618-1537
Fax
(970) 930-6150
NPI assigned
Feb 4, 2009
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1140 CO Primary

Addresses

Primary practice location

3950 Midland Ave Ste 3
Glenwood Springs, CO 81601-4605

Mailing address

3711 Red Bluff LN
Glenwood Springs, CO 81601-4556
Phone (970) 618-1537

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1140COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Healing LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

3950 Midland Ave
Ste 3
Glenwood Springs, CO 81601
Phone (970) 618-1537

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1093954638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 RED BLUFF LN",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014556",
            "telephone_number": "970-618-1537",
            "fax_number": "970-930-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 MIDLAND AVE STE 3",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014605",
            "telephone_number": "970-618-1537",
            "fax_number": "970-930-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIJANIC",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "L.AC.,NCCAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.