Organization Active NPI

100 Percent Chiropractic Livingood Co Inc Apc

  • Chiropractor
  • Arvada, CO
National Provider Identifier
1265034284
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 PERCENT CHIROPRACTIC LIVINGOOD CO INC APC
Practice address
15400 W 64TH Ave Unit 2
Arvada, CO 80007-6852
Phone
(720) 524-8174
NPI assigned
Nov 13, 2020
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Ellena Wenger
Title
Franchisee
Phone
(719) 217-0895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

15400 W 64TH Ave Unit 2
Arvada, CO 80007-6852

Mailing address

15400 W 64TH Ave Unit 2
Arvada, CO 80007-6852
Phone (970) 623-4301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210820001141 CO Part B Supplier - Clinic/Group Practice 0244635795 Receives reassigned benefits from 2 practitioners
Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

15400 W 64th Ave
Unit 2
Arvada, CO 80007
Phone (720) 524-8174

Practitioners & affiliated clinicians

Practitioners 3

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": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1265034284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 W 64TH AVE UNIT 2",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076852",
            "telephone_number": "970-623-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 W 64TH AVE UNIT 2",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076852",
            "telephone_number": "720-524-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC LIVINGOOD CO INC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "ELLENA",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "719-217-0895"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.