Organization Active NPI

Network Family Chiropractic PC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1144562901
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4482 Issued in CO
Legal business name
NETWORK FAMILY CHIROPRACTIC PC
Practice address
1715 15TH St
Boulder, CO 80302-6347
Phone
(303) 998-1000
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. Daniel M Knowles III, DCNPI 1043343627
Title
Owner
Phone
(303) 998-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4482 CO Primary

Addresses

Primary practice location

1715 15TH St
Boulder, CO 80302-6347

Mailing address

1715 15TH St
Boulder, CO 80302-6347
Phone (303) 998-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001037 CO Part B Supplier - Clinic/Group Practice 6204725229 Receives reassigned benefits from 4 practitioners
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1144562901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 15TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026347",
            "telephone_number": "303-998-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 15TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026347",
            "telephone_number": "303-998-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETWORK FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-998-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4482",
            "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 Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.