Organization Active NPI

Red Dragon Chiropractic and Acupuncture Inc

  • Internist Chiropractor
  • Boulder, CO
National Provider Identifier
1275580342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
4392 Issued in CO
Legal business name
RED DRAGON CHIROPRACTIC AND ACUPUNCTURE INC
Practice address
75 Manhattan Dr
Boulder, CO 80303-4254
Phone
(303) 449-2130
Fax
(303) 494-1688
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jane A. Ray, D.C.NPI 1336189497
Title
Owner & Chiropractor
Phone
(303) 449-2130

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 4392 CO Primary

Addresses

Primary practice location

75 Manhattan Dr
Boulder, CO 80303-4254

Mailing address

75 Manhattan Dr
Boulder, CO 80303-4254
Phone (303) 449-2130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000006 CO Part B Supplier - Clinic/Group Practice 5597867754 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, CO

National Provider Directory

National Provider Directory

Locations

75 Manhattan Dr
Ste 100
Boulder, CO 80303
Phone (303) 449-2130

75 Manhattan Dr
Boulder, CO 80303
Phone (303) 449-2130

1120 W South Boulder Rd
Ste 101
Lafayette, CO 80026
Phone (303) 449-2130

Practitioners & affiliated clinicians

Practitioners 1

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275580342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034254",
            "telephone_number": "303-449-2130",
            "fax_number": "303-494-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034254",
            "telephone_number": "303-449-2130",
            "fax_number": "303-494-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DRAGON CHIROPRACTIC AND ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER & CHIROPRACTOR",
        "authorized_official_telephone_number": "303-449-2130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "CO",
            "license": "4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.