Organization Active NPI

North Colorado Clinic of Chiropractic, PC

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1154595478
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5497 Issued in CO
Legal business name
NORTH COLORADO CLINIC OF CHIROPRACTIC, PC
Practice address
1240 Ken Pratt Blvd
Suite 7
Longmont, CO 80501-6300
Phone
(303) 684-8380
Fax
(303) 684-8381
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Teresa G Davies, DCNPI 1649228107
Title
Doctor of Chiropractic
Phone
(303) 684-8380

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 5497 CO Primary

Addresses

Primary practice location

1240 Ken Pratt Blvd
Suite 7
Longmont, CO 80501-6300

Mailing address

1240 Ken Pratt Blvd
Suite 7
Longmont, CO 80501-6300
Phone (303) 684-8380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081114000521 CO Part B Supplier - Clinic/Group Practice 7911067327 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1240 Ken Pratt Blvd
Ste 137
Longmont, CO 80501

1240 Ken Pratt Blvd
Ste 7
Longmont, CO 80501
Phone (303) 684-8380

Practitioners & affiliated clinicians

Practitioners 1

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1154595478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 KEN PRATT BLVD",
            "address_2": "SUITE 7",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016300",
            "telephone_number": "303-684-8380",
            "fax_number": "303-684-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 KEN PRATT BLVD",
            "address_2": "SUITE 7",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016300",
            "telephone_number": "303-684-8380",
            "fax_number": "303-684-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COLORADO CLINIC OF CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "303-684-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.