Organization Active NPI

Tri Health Clinic Inc

  • Chiropractor
  • Aurora, CO
National Provider Identifier
1235227174
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5193 Issued in CO
Legal business name
TRI HEALTH CLINIC INC
Practice address
11275 East Mississippi Avenue
Suite 2S2
Aurora, CO 80012-3263
Phone
(720) 859-9105
Fax
(720) 859-9106
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Chung Joon Seo, DCNPI 1457449399
Title
President
Phone
(720) 859-9105

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5193 CO Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

11275 East Mississippi Avenue
Suite 2S2
Aurora, CO 80012-3263

Mailing address

11275 East Mississippi Avenue
Suite 2S2
Aurora, CO 80012-3263
Phone (720) 859-9105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070115000016 CO Part B Supplier - Clinic/Group Practice 4688674443 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

11275 E Mississippi Ave
Ste 2S2
Aurora, CO 80012
Phone (720) 859-9105

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1235227174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 EAST MISSISSIPPI AVENUE",
            "address_2": "SUITE 2S2",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123263",
            "telephone_number": "720-859-9105",
            "fax_number": "720-859-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 EAST MISSISSIPPI AVENUE",
            "address_2": "SUITE 2S2",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123263",
            "telephone_number": "720-859-9105",
            "fax_number": "720-859-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_middle_name": "JOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-859-9105",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5193",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 29, 2008; 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.