Individual provider Active NPI

Brian Yodice, DC

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1275611642
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009553 Issued in NY
Practice address
12051 W Alameda Pkwy # D4
Lakewood, CO 80228-2701
Phone
(303) 985-5540
Fax
(303) 985-5676
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009553 NY Primary

Addresses

Primary practice location

12051 W Alameda Pkwy # D4
Lakewood, CO 80228-2701

Mailing address

12051 W Alameda Pkwy # D4
Lakewood, CO 80228-2701
Phone (303) 985-5540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209002167 CO Practitioner - Chiropractic 0143494906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009553NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Life-Changing Care Chiropractor PastSince Jan 1, 2023 Accepting new patients
Katas Integrative Health Chiropractor PastSince Oct 5, 2025 Accepting new patients
Sunrise Chiropractic P.C. Chiropractor PastSince Oct 1, 2006 Accepting new patients
Lastorino Family Chiropractic PC Chiropractor PastSince Sep 1, 2019 Accepting new patients
Island Shore Physical Therapy, LLP PastSince Jan 1, 2016 Accepting new patients

Organizations & group practices 5

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1275611642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12051 W ALAMEDA PKWY # D4",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282701",
            "telephone_number": "303-985-5540",
            "fax_number": "985-985-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12051 W ALAMEDA PKWY # D4",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282701",
            "telephone_number": "303-985-5540",
            "fax_number": "303-985-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODICE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.