Dr. Kenna Ducey-Clark D.C.,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. KENNA DUCEY-CLARK D.C.,P.C.

Doing business as

Falling Leaves Chiropractic, DBA

Practice address

300 S Jackson St Ste 105
Denver, CO 80209-3131

Phone

(303) 320-1993

Fax

(303) 320-4599

NPI assigned

Sep 22, 2008

Last updated

Sep 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenna S Ducey-Clark D.C,P.C., D.C.

Title

President

Phone

(303) 320-1993

Specialties & licenses 1

Addresses

Other names 1

• Falling Leaves Chiropractic, DBA Doing business as

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1215187638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "303-320-1993",
            "fax_number": "303-320-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "303-320-1993",
            "fax_number": "303-320-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENNA DUCEY-CLARK D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "DUCEY-CLARK D.C,P.C.",
        "authorized_official_first_name": "KENNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-320-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falling Leaves Chiropractic, DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Denver, CO
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• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.