Organization Active NPI

Prolific Chiropractic, P.C.

  • Chiropractor
  • Aurora, CO
National Provider Identifier
1225067929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4716 Issued in CO
Legal business name
PROLIFIC CHIROPRACTIC, P.C.
Practice address
2323 S Troy St
Suite 2-105
Aurora, CO 80014-1946
Phone
(303) 337-1321
Fax
(303) 337-2305
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roechelle Lavette Smith, D.C.NPI 1073796710
Title
President
Phone
(303) 337-1321

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4716 CO Primary

Addresses

Primary practice location

2323 S Troy St
Suite 2-105
Aurora, CO 80014-1946

Mailing address

2323 S Troy St
Suite 2-105
Aurora, CO 80014-1946
Phone (303) 337-1321

Other identifiers 1

IdentifierTypeStateIssuer
TR658937OtherCOBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000352 CO Part B Supplier - Clinic/Group Practice 0244310951 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

2323 S Troy St
Ste 2-105
Aurora, CO 80014
Phone (303) 337-1321

2101 S Blackhawk St
Ste 140
Aurora, CO 80014
Phone (303) 337-1321

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225067929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST",
            "address_2": "SUITE 2-105",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "303-337-1321",
            "fax_number": "303-337-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST",
            "address_2": "SUITE 2-105",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "303-337-1321",
            "fax_number": "303-337-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROECHELLE",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-337-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "TR658937",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.