NPIMap

Organization Active NPI

Rejuv Health Makeovers

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1164726303
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4835 Issued in CO
Legal business name
REJUV HEALTH MAKEOVERS
Practice address
742 Tenacity, Unit a
Longmont, CO 80504
Phone
(720) 331-5756
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. Beau Mauldin, D.C.NPI 1972544229
Title
Owner
Phone
(720) 331-5756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4835 CO Primary

Addresses

Primary practice location

742 Tenacity, Unit a
Longmont, CO 80504

Mailing address

1120 Chestnut Drive
Longmont, CO 80503-7636
Phone (720) 331-5756

National Provider Directory

National Provider Directory

Locations

600 5th Ave
Ste B
Longmont, CO 80501
Phone (720) 340-4736

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1164726303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CHESTNUT DRIVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037636",
            "telephone_number": "720-331-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 TENACITY, UNIT A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80504",
            "telephone_number": "720-331-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUV HEALTH MAKEOVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-331-5756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4835",
            "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 Jan 3, 2011; 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.