Organization Active NPI

Shine Chiropractic and Wellness LLC

  • Health Service Clinic/Center
  • Denver, CO
National Provider Identifier
1114799566
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SHINE CHIROPRACTIC AND WELLNESS LLC
Practice address
4411 Yates St Unit 103
Denver, CO 80212-2450
Phone
(720) 295-7756
NPI assigned
Oct 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Shea Osuna, D.C.
Title
Owner
Phone
(720) 295-7756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4411 Yates St Unit 103
Denver, CO 80212-2450

Mailing address

7716 Torrey CT
Arvada, CO 80007-7640
Phone (720) 646-6369

Other names 1

  • Vertically Sourced Doing business as

National Provider Directory

National Provider Directory

Locations

4411 Yates St
Unit 103
Denver, CO 80212
Phone (720) 295-7756

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1114799566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 TORREY CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077640",
            "telephone_number": "720-646-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 YATES ST UNIT 103",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122450",
            "telephone_number": "720-295-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "OSUNA",
        "authorized_official_first_name": "SHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-295-7756",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertically Sourced",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 2023; 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.