Organization Active NPI

Joshua W Middeker DC PC

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1154153252
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOSHUA W MIDDEKER DC PC
Practice address
11859 Pecos St Ste 310
Westminster, CO 80234-2742
Phone
(303) 428-1914
NPI assigned
Aug 16, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Joshua W Middeker, D.C.NPI 1104505742
Title
Chiropractor
Phone
(303) 842-1471

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

11859 Pecos St Ste 310
Westminster, CO 80234-2742

Mailing address

5571 E 130TH Dr
Thornton, CO 80241-2364
Phone (303) 842-1417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926004522 CO Part B Supplier - Clinic/Group Practice 5698206910 Receives reassigned benefits from 1 practitioner
Practice locations: Thornton, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1154153252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 E 130TH DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412364",
            "telephone_number": "303-842-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11859 PECOS ST STE 310",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342742",
            "telephone_number": "303-428-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA W MIDDEKER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "MIDDEKER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "303-842-1471",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.