Organization Active NPI

Lewis Adamson Black P.C.

  • Chiropractor
  • Cortez, CO
National Provider Identifier
1164621512
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4723 Issued in CO
Legal business name
LEWIS ADAMSON BLACK P.C.
Practice address
112 W Montezuma Ave
Cortez, CO 81321-2759
Phone
(970) 564-9515
Fax
(970) 564-9164
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Lewis Adamson Black, DC
Title
DC
Phone
(970) 564-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4723 CO Primary

Addresses

Primary practice location

112 W Montezuma Ave
Cortez, CO 81321-2759

Mailing address

112 W Montezuma Ave
Cortez, CO 81321-2759
Phone (970) 564-9515

National Provider Directory

National Provider Directory

Locations

112 W Montezuma Ave
Cortez, CO 81321
Phone (970) 564-9515

112 W Montezuma Ave
Ste 1
Cortez, CO 81321
Phone (970) 564-9515

Practitioners & affiliated clinicians

Practitioners 2

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1164621512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MONTEZUMA AVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212759",
            "telephone_number": "970-564-9515",
            "fax_number": "970-564-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MONTEZUMA AVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212759",
            "telephone_number": "970-564-9515",
            "fax_number": "970-564-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS ADAMSON BLACK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "ADAMSON",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "970-564-9515",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

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

Verify at the official NPI Registry.