Individual provider Active NPI

Rebecca Elizabeth Updyke, D.C.

  • Chiropractor
  • Broomfield, CO
National Provider Identifier
1215025655
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2243 Issued in CO
Practice address
555 US Highway 287
Unit A1
Broomfield, CO 80020-7088
Phone
(303) 466-6499
Fax
(303) 466-6445
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2243 CO Primary

Addresses

Primary practice location

555 US Highway 287
Unit A1
Broomfield, CO 80020-7088

Mailing address

555 Hwy 287
Unit a-1
Broomfield, CO 80020
Phone (303) 466-6499

Other identifiers 1

IdentifierTypeStateIssuer
2243OtherCOCHIROPRACTIC LISCENSE NO.

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1215025655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HWY 287",
            "address_2": "UNIT A-1",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-466-6499",
            "fax_number": "303-466-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 US HIGHWAY 287",
            "address_2": "UNIT A1",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207088",
            "telephone_number": "303-466-6499",
            "fax_number": "303-466-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDYKE",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LISCENSE NO.",
            "identifier": "2243",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.