Active NPI
Richard Duran Perez Jr., DC
- Chiropractor
- Northglenn, CO
National Provider Identifier
1205651213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0008878
- Practice address
- 11152 Huron St Ste 105
Northglenn, CO 80234-4321 - Phone
- (970) 841-0206
- NPI assigned
- Nov 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0008878 | CO | Primary |
Addresses
Primary practice location
11152 Huron St Ste 105
Northglenn, CO 80234-4321
Mailing address
25 Cisne Cir
Brighton, CO 80601-5324
Phone (303) 907-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0008878 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Balanced Solutions, LLC | Chiropractor | Current | Accepting new patients |
Locations
11152 Huron St
Ste 105
Northglenn, CO 80234
Phone (303) 907-4306
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Simply Balanced Chiropractic
- Chiropractor
- Northglenn, CO
- NPI 1174460034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1205651213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CISNE CIR",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806015324",
"telephone_number": "303-907-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11152 HURON ST STE 105",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344321",
"telephone_number": "970-841-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RICHARD",
"middle_name": "DURAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0008878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.