Active NPI
Mandy Marziaz, D.C.
- Chiropractor
- Lafayette, CO
National Provider Identifier
1285010124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007702
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007702 | CO | MD | Chiropractor |
| 7702 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Lafayette, CO
- NPI 1740751098
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.