Organization Active NPI

Wheatridge Chiropractic and Acupuncture

  • Chiropractor
  • Wheat Ridge, CO
National Provider Identifier
1194369017
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WHEATRIDGE CHIROPRACTIC AND ACUPUNCTURE
Practice address
4350 Wadsworth Blvd Ste 430
Wheat Ridge, CO 80033-4634
Phone
(303) 525-3549
Fax
(303) 431-0400
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Randall Craig Fraser, DCNPI 1437210804
Title
President
Phone
(303) 525-3549

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 Primary

Addresses

Primary practice location

4350 Wadsworth Blvd Ste 430
Wheat Ridge, CO 80033-4634

Mailing address

4350 Wadsworth Blvd Ste 430
Wheat Ridge, CO 80033-4634
Phone (303) 525-3549

National Provider Directory

National Provider Directory

Locations

4350 Wadsworth Blvd
Ste 430
Wheat Ridge, CO 80033
Phone (303) 422-6301

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1194369017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 430",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334634",
            "telephone_number": "303-525-3549",
            "fax_number": "303-431-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 430",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334634",
            "telephone_number": "303-525-3549",
            "fax_number": "303-431-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATRIDGE CHIROPRACTIC AND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-525-3549",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.