Advanced Chiropractic Clinic PLLC
Organization Active NPI Chiropractor · Parker, CO
NPI 1225674591 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1225674591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ADVANCED CHIROPRACTIC CLINIC PLLC
- Practice address
- 11020 S Pikes Peak Dr Ste 110
Parker, CO 80138-7413 - Phone
- (303) 841-2524
- Fax
- (303) 840-1319
- NPI assigned
- Nov 21, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Rebecca Lamaack-Schwartz, DC
- Title
- Owner
- Phone
- (303) 841-2524
Practitioners 4
-
Benjamin Todd Lockie, D.C.
-
Daniel Z. Maduff, D.C.
-
Rebecca Lamaack Schwartz, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230327000677 | CO | Part B Supplier - Clinic/Group Practice | 3375917743 |
Receives reassigned benefits from 4 practitioners Practice locations: Parker, CO |
National Provider Directory
Locations
11020 S Pikes Peak Dr
Ste 110
Parker, CO 80138
Phone (303) 814-2524
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes | ||
| Acupuncturist |
171100000X |
Addresses
Primary practice location
11020 S Pikes Peak Dr Ste 110
Parker, CO 80138-7413
Mailing address
11020 S Pikes Peak Dr Ste 110
Parker, CO 80138-7413
Phone (303) 841-2524
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.