Individual provider Active NPI

Mandy Marziaz, D.C.

  • Chiropractor
  • Lafayette, CO
National Provider Identifier
1285010124
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007702 Issued in CO
Practice address
400 E Simpson St Ste G8
Lafayette, CO 80026-2350
Phone
(720) 749-6904
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7702 CO
Chiropractor 111N00000X CHR.0007702 CO Primary

Addresses

Primary practice location

400 E Simpson St Ste G8
Lafayette, CO 80026-2350

Mailing address

4960 Yates CT
Broomfield, CO 80020-5618
Phone (971) 271-2459

Other practice location 1

1715 E Burnside St
Portland, OR 97214-1531
Phone (971) 271-2459

Other practice location 2

1180 Marigold Dr
Denver, CO 80221-3984
Phone (971) 271-2459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007702COMDChiropractor
7702COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Family Chiropractic LLC Chiropractor Current Accepting new patients

Locations

401 E Cleveland St
Ste C
Lafayette, CO 80026
Phone (303) 907-3670

Organizations & group practices 1

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1285010124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 YATES CT",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205618",
            "telephone_number": "971-271-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SIMPSON ST STE G8",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262350",
            "telephone_number": "720-749-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 E Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141531",
            "country_code": "US",
            "telephone_number": "971-271-2459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Marigold Dr",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802213984",
            "country_code": "US",
            "telephone_number": "971-271-2459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZIAZ",
        "first_name": "MANDY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "7702",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.