Dale Gordon Retzer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2588 Issued in CO

Practice address

609 W Littleton Blvd
Suite 210
Littleton, CO 80120-2368

Phone

(303) 730-2414

Fax

(303) 730-2504

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Other, 1980

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1104927318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W LITTLETON BLVD",
            "address_2": "SUITE 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202368",
            "telephone_number": "303-730-2414",
            "fax_number": "303-730-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W LITTLETON BLVD",
            "address_2": "SUITE 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202368",
            "telephone_number": "303-730-2414",
            "fax_number": "303-730-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZER",
        "first_name": "DALE",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Littleton, CO
• Providers in Littleton, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.