Organization Active NPI

Family Chiropractic Clinic P.C.

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1225331689
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2878 Issued in CO
Legal business name
FAMILY CHIROPRACTIC CLINIC P.C.
Practice address
1112 Francis St
Longmont, CO 80501-3704
Phone
(303) 678-0266
Fax
(303) 678-0355
NPI assigned
Dec 7, 2010
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Brenda Kay Shelton, D.C.NPI 1225103385
Title
President
Phone
(303) 678-0266

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
Chiropractor 111N00000X 2878 CO Primary

Addresses

Primary practice location

1112 Francis St
Longmont, CO 80501-3704

Mailing address

1112 Francis St
Longmont, CO 80501-3704
Phone (303) 678-0266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000240 CO Part B Supplier - Clinic/Group Practice 3971788852 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1112 Francis St
Longmont, CO 80501
Phone (303) 678-0266

Practitioners & affiliated clinicians

Practitioners 1

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": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1225331689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 FRANCIS ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013704",
            "telephone_number": "303-678-0266",
            "fax_number": "303-678-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 FRANCIS ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013704",
            "telephone_number": "303-678-0266",
            "fax_number": "303-678-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-678-0266",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.