Individual provider Active NPI

Sergio A Rocafort, D.C.

  • Sports Physician Chiropractor
  • Denver, CO
National Provider Identifier
1104914167
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0006936 Issued in CO
Practice address
945 S Federal Blvd Ste B
Denver, CO 80219-3586
Phone
(303) 922-8146
Fax
(303) 922-0158
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06918 IA
Sports Physician Chiropractor 111NS0005X 0006936 CO Primary

Addresses

Primary practice location

945 S Federal Blvd Ste B
Denver, CO 80219-3586

Mailing address

945 S Federal Blvd Ste B
Denver, CO 80219-3586
Phone (303) 922-8146

Other identifiers 2

IdentifierTypeStateIssuer
0742619MedicaidIA
10025541100MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610001459 CO Practitioner - Chiropractic 2668471343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1475NEMDMental Health Counselor
06918IAMDChiropractor
0006936COMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aim High Chiropractic Chiropractor PastSince Dec 3, 2015 Accepting new patients
Multi Care Physicians Group PC Chiropractor PastSince Apr 25, 2014 Accepting new patients
Multi Care Physicians Group PC PastSince May 14, 2003 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1104914167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S FEDERAL BLVD STE B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802193586",
            "telephone_number": "303-922-8146",
            "fax_number": "303-922-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S FEDERAL BLVD STE B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802193586",
            "telephone_number": "303-922-8146",
            "fax_number": "303-922-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCAFORT",
        "first_name": "SERGIO",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06918",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "0006936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0742619",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025541100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.