Active NPI
Brian Yodice, DC
- Chiropractor
- Lakewood, CO
National Provider Identifier
1275611642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009553
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230209002167 | CO | Practitioner - Chiropractic | 0143494906 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009553 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Life-Changing Care | Chiropractor | Past | Accepting new patients |
| Katas Integrative Health | Chiropractor | Past | Accepting new patients |
| Sunrise Chiropractic P.C. | Chiropractor | Past | Accepting new patients |
| Lastorino Family Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Island Shore Physical Therapy, LLP | Past | 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.
-
- Chiropractor
- Lakewood, CO
- NPI 1497802110
-
- Chiropractor
- Lakewood, CO
- NPI 1306710538
-
- Physical Therapy Clinic/Center
- East Islip, NY
- NPI 1295911071
-
- Chiropractor
- West Babylon, NY
- NPI 1407120728
-
- Chiropractor
- Seaford, NY
- NPI 1649373226
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.