Organization Active NPI

Genesis Chiropractic

  • Chiropractor
  • Denver, CO
National Provider Identifier
1265569248
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GENESIS CHIROPRACTIC
Practice address
7200 E Hampden Ave Ste 103
Denver, CO 80224-3021
Phone
(303) 758-2638
Fax
(303) 758-2633
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Ms. Rae Lynn Riedel, D.C.
Title
Owner
Phone
(303) 758-2638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7200 E Hampden Ave Ste 103
Denver, CO 80224-3021

Mailing address

7200 E Hampden Ave Ste 103
Denver, CO 80224-3021
Phone (303) 758-2638

National Provider Directory

National Provider Directory

Locations

7200 E Hampden Ave
Ste 103
Denver, CO 80224
Phone (303) 758-0224

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1265569248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 E HAMPDEN AVE STE 103",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243021",
            "telephone_number": "303-758-2638",
            "fax_number": "303-758-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E HAMPDEN AVE STE 103",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243021",
            "telephone_number": "303-758-2638",
            "fax_number": "303-758-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "RIEDEL",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-758-2638",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.