NPIMap

Organization Active NPI

Arvada Sport and Spine Group

  • Multi-Specialty Clinic/Center
  • Arvada, CO
National Provider Identifier
1215953864
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ARVADA SPORT AND SPINE GROUP
Practice address
12189 W 64TH Ave
Ste 102
Arvada, CO 80004-4000
Phone
(303) 424-5949
NPI assigned
Jul 15, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Dr. Andrew Welling, D.C.NPI 1952336240
Title
President
Phone
(303) 424-9549

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X
Chiropractor 111N00000X

Addresses

Primary practice location

12189 W 64TH Ave
Ste 102
Arvada, CO 80004-4000

Mailing address

12189 W 64TH Ave
Ste 102
Arvada, CO 80004-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000342 CO Part B Supplier - Clinic/Group Practice 1557366606 Receives reassigned benefits from 5 practitioners
Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

12189 W 64th Ave
Arvada, CO 80004
Phone (303) 456-8303

12189 W 64th Ave
Ste 102
Arvada, CO 80004
Phone (303) 424-9549

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1215953864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12189 W 64TH AVE",
            "address_2": "STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12189 W 64TH AVE",
            "address_2": "STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044000",
            "telephone_number": "303-424-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVADA SPORT AND SPINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WELLING",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-424-9549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.