Form and Function Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0006782 Issued in CO

Legal business name

FORM AND FUNCTION CHIROPRACTIC LLC

Practice address

13751 E Yale Ave
Aurora, CO 80014-7351

Phone

(303) 597-9595

Fax

(303) 597-9689

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Leroy Usel, DC

Title

Doctor of Chiropractic

Phone

(970) 988-0328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1114358355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S HOLLY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462307",
            "telephone_number": "970-988-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 E YALE AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147351",
            "telephone_number": "303-597-9595",
            "fax_number": "303-597-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORM AND FUNCTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "USEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "970-988-0328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "0006782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Foreman, MD
• Talisa Forest, MD
• Craig Michael Forester, MD
• Gregory Peter Forlenza, MD
• Andrea Forlina, LCSW, MSW
• Aiden Forman
• Lisa Forman, MD
• Eric John Formeister, M.D., M.S.
• Jaime Lyn Fornal, BCBA
• Richard Andrew Forney

• Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.