NPIMap

Organization Active NPI

Denver Spine LLC

  • Chiropractor
  • Denver, CO
National Provider Identifier
1174841464
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6453 Issued in CO
Legal business name
DENVER SPINE LLC
Practice address
1699 S Colorado Blvd
Unit M
Denver, CO 80222-4036
Phone
(303) 953-1471
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Niels Jonathan Pedersen, D.CNPI 1841518347
Title
Chiropractor
Phone
(303) 953-1471

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6453 CO Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X 6451 CO

Addresses

Primary practice location

1699 S Colorado Blvd
Unit M
Denver, CO 80222-4036

Mailing address

1699 S Colorado Blvd
Unit M
Denver, CO 80222-4036
Phone (303) 953-1471

National Provider Directory

National Provider Directory

Locations

1699 S Colorado Blvd
Unit M
Denver, CO 80222
Phone (303) 953-1471

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": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1174841464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 S COLORADO BLVD",
            "address_2": "UNIT M",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224036",
            "telephone_number": "303-953-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 S COLORADO BLVD",
            "address_2": "UNIT M",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224036",
            "telephone_number": "303-953-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "NIELS",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "303-953-1471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6453",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "6451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.