Active NPI
Todd Lee Odekirk, D.C.
- Chiropractor
- Centennial, CO
National Provider Identifier
1144381369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3401
- Practice address
- 7030 S Yosemite St
Centennial, CO 80112-2026 - Phone
- (303) 721-9984
- Fax
- (303) 996-0433
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3401 | CO | Primary |
Addresses
Primary practice location
7030 S Yosemite St
Centennial, CO 80112-2026
Mailing address
446 Meadow Station Cir
Parker, CO 80138-4449
Phone (720) 842-0772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841531327 | Other | CO | PRIMARY OFFICETAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3401 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinix Health Services | Chiropractor | Past | Accepting new patients |
| A New Life Wellness Center, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Aurora, CO
- NPI 1659668960
-
- Chiropractor
- Centennial, CO
- NPI 1154333821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1144381369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 MEADOW STATION CIR",
"city": "PARKER",
"state": "CO",
"postal_code": "801384449",
"telephone_number": "720-842-0772",
"fax_number": "720-842-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 S YOSEMITE ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122026",
"telephone_number": "303-721-9984",
"fax_number": "303-996-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEKIRK",
"first_name": "TODD",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY OFFICETAX ID",
"identifier": "841531327",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.