Individual provider Active NPI

Joshua Wayne Middeker, D.C.

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1104505742
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2787449 Issued in CO
Practice address
11859 Pecos St Ste 310
Westminster, CO 80234-2742
Phone
(303) 428-1914
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2787449 CO Primary

Addresses

Primary practice location

11859 Pecos St Ste 310
Westminster, CO 80234-2742

Mailing address

11859 Pecos St Ste 310
Westminster, CO 80234-2742
Phone (303) 428-1914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926004545 CO Practitioner - Chiropractic 6507397825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5571 E 130TH Dr
Thornton, CO 80241-2364
Phone (303) 842-1417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2787449COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua W Middeker DC PC Chiropractor CurrentSince Aug 7, 2024 Accepting new patients

Locations

11859 Pecos St
Ste 310
Westminster, CO 80234
Phone (303) 428-1914

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1104505742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11859 PECOS ST STE 310",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342742",
            "telephone_number": "303-428-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11859 PECOS ST STE 310",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342742",
            "telephone_number": "303-428-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDEKER",
        "first_name": "JOSHUA",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2787449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.