Organization Active NPI

Modern Chiropractic and Wellness Center LLC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1154830164
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0007655 Issued in CO
Legal business name
MODERN CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
7600 E Arapahoe Rd Ste 211
Centennial, CO 80112-1262
Phone
(303) 221-1714
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Dr. Joseph Charles Dibella Jr., DCNPI 1780107763
Title
Owner
Phone
(303) 221-1714

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 0007655 CO Primary

Addresses

Primary practice location

7600 E Arapahoe Rd Ste 211
Centennial, CO 80112-1262

Mailing address

7600 E Arapahoe Rd Ste 211
Centennial, CO 80112-1262
Phone (303) 221-1714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313001628 CO Part B Supplier - Clinic/Group Practice 5395085278 Receives reassigned benefits from 2 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

7600 E Arapahoe Rd
Ste 211
Centennial, CO 80112
Phone (303) 221-1714

Practitioners & affiliated clinicians

Practitioners 2

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": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1154830164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E ARAPAHOE RD STE 211",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121262",
            "telephone_number": "303-221-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E ARAPAHOE RD STE 211",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121262",
            "telephone_number": "303-221-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DIBELLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-221-1714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007655",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 2, 2026; 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.