Active NPI
Christopher Fabijanic, L.AC.,NCCAOM
- Acupuncturist
- Glenwood Springs, CO
National Provider Identifier
1093954638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1140
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1140 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elemental Healing LLC | Current | 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.
-
- Health Service Clinic/Center
- Glenwood Springs, CO
- NPI 1619685229
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.