Healthsource Arvada PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6863 Issued in CO

Legal business name

HEALTHSOURCE ARVADA PC

Practice address

5091 Kipling St
Suite 210
Wheat Ridge, CO 80033-2325

Phone

(720) 974-9477

Fax

(920) 974-9481

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Miss Angela Dawn Konikow

Title

Office Manager

Phone

(720) 974-9477

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Scott Mansolf, DC

  • Chiropractor
  • Chattanooga, TN
  • NPI 1134409386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1184987984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 KIPLING ST",
            "address_2": "SUITE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332325",
            "telephone_number": "720-974-9477",
            "fax_number": "920-974-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 KIPLING ST",
            "address_2": "SUITE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332325",
            "telephone_number": "720-974-9477",
            "fax_number": "920-974-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE ARVADA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "KONIKOW",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-974-9477",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hays
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• Healthone Clinic Services - Orthopedic Specialists LLC
• Healthone Clinic Services-Surgical Specialties LLC
• Healthsource Enterprises PC
• Heart Centered Counseling, PC
• Jasmine Heater
• Heaven Wheels Transportation, Inc
• Aaron Preston Hebenstreit, PA-C

• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.