Organization Active NPI

Cafe of Life, PC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1205028446
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5096 Issued in CO
Legal business name
CAFE OF LIFE, PC
Practice address
2835 Pearl St
Unit D
Boulder, CO 80301-1140
Phone
(303) 444-7744
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Robert Palmer, D.C.NPI 1932379377
Title
President
Phone
(303) 444-7744

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 5096 CO Primary

Addresses

Primary practice location

2835 Pearl St
Unit D
Boulder, CO 80301-1140

Mailing address

2835 Pearl St
Unit D
Boulder, CO 80301-1140
Phone (303) 444-7744

National Provider Directory

National Provider Directory

Locations

2835 Pearl St
Ste D
Boulder, CO 80301
Phone (303) 444-7744

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1205028446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 PEARL ST",
            "address_2": "UNIT D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011140",
            "telephone_number": "303-444-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 PEARL ST",
            "address_2": "UNIT D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011140",
            "telephone_number": "303-444-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAFE OF LIFE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-444-7744",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.