Active NPI
Rebecca Elizabeth Updyke, D.C.
- Chiropractor
- Broomfield, CO
National Provider Identifier
1215025655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2243
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2243 | Other | CO | CHIROPRACTIC 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.