Individual provider Active NPI

John Stevens, D.C.

  • Rehabilitation Chiropractor
  • Castle Rock, CO
National Provider Identifier
1245451780
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4569 Issued in CO
Practice address
562 E Castle Pines Pkwy
Ste C-6B
Castle Rock, CO 80108-4609
Phone
(303) 814-8000
Fax
(303) 660-2300
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 4569 CO Primary

Addresses

Primary practice location

562 E Castle Pines Pkwy
Ste C-6B
Castle Rock, CO 80108-4609

Mailing address

562 E Castle Pines Pkwy
Ste C-6B
Castle Rock, CO 80108-4609
Phone (303) 814-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050709000056 CO Practitioner - Chiropractic 4789610031 Reassigns benefits to 1 organization
I20230428000090 GA Practitioner - Chiropractic 4789610031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4569COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Plus, PC CurrentSince Jun 23, 2014 Accepting new patients
Stevens Family Chiropractic, PC CurrentSince Jan 1, 2023 Accepting new patients
Derry Chiropractic PC Past Accepting new patients

Locations

550 Thornton Pkwy
Unit 178
Thornton, CO 80229
Phone (303) 254-8430

1105 Parkside Ln
Ste 1322
Woodstock, GA 30189
Phone (678) 831-8419

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1245451780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 E CASTLE PINES PKWY",
            "address_2": "STE C-6B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801084609",
            "telephone_number": "303-814-8000",
            "fax_number": "303-660-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E CASTLE PINES PKWY",
            "address_2": "STE C-6B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801084609",
            "telephone_number": "303-814-8000",
            "fax_number": "303-660-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.