Individual provider Active NPI

David Chang, DC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1144064973
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008741 Issued in CO
Practice address
1790 30TH St Ste 100
Boulder, CO 80301-1018
Phone
(720) 636-6064
NPI assigned
Jun 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008741 CO Primary

Addresses

Primary practice location

1790 30TH St Ste 100
Boulder, CO 80301-1018

Mailing address

1790 30TH St Ste 100
Boulder, CO 80301-1018
Phone (720) 636-6064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260108004325 CO Practitioner - Chiropractic 9830675826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1790 30TH St
Suite 100
Boulder, CO 80301-1019

6224 Powell Rd
Parker, CO 80134-5619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008741COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Muv Chiropractic Health Center PLLC Chiropractor CurrentSince Nov 15, 2025 Accepting new patients
Adio Health Chiropractic Chiropractor PastSince Jun 1, 2024 Accepting new patients
Muv Chiropractic & Yoga PastSince Feb 23, 2025 Accepting new patients

Locations

1790 30th St
Ste 100
Boulder, CO 80301
Phone (720) 636-6064

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1144064973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011018",
            "telephone_number": "720-636-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011018",
            "telephone_number": "720-636-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; 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.