Sagebrush Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4750 Issued in CO

Legal business name

SAGEBRUSH CHIROPRACTIC LLC

Doing business as

ChiropracticUSA-Lakewood

Practice address

305 S Kipling St
Suite C-2
Lakewood, CO 80226-2700

Phone

(303) 989-0255

Fax

(303) 672-8212

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay Alexander Hafner, D.C.NPI 1801893813

Title

Owner

Phone

(303) 989-0255

Specialties & licenses 1

Addresses

Other names 1

• ChiropracticUSA-Lakewood Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Jay Alexander Hafner, D.C.

  • Chiropractor
  • Lakewood, CO
  • NPI 1801893813
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194948497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S KIPLING ST",
            "address_2": "SUITE C-2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262700",
            "telephone_number": "303-989-0255",
            "fax_number": "303-672-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S KIPLING ST",
            "address_2": "SUITE C-2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262700",
            "telephone_number": "303-989-0255",
            "fax_number": "303-672-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEBRUSH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAFNER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-989-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiropracticUSA-Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.