Cherry Creek Spine & Sport Clinic, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5762 Issued in CO

Legal business name

CHERRY CREEK SPINE & SPORT CLINIC, LLC

Practice address

400 S Colorado Blvd
Suite 300
Denver, CO 80246-1253

Phone

(720) 974-0392

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Scott M Sheil-Brown, DC

Title

Co-Owner

Phone

(720) 974-0392

Specialties & licenses 2

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1285045187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461253",
            "telephone_number": "720-974-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461253",
            "telephone_number": "720-974-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CREEK SPINE & SPORT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "SHEIL-BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-974-0392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "5762",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "6065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922265909",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083651624",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry Creek Pediatrics, PC
• Cherry Creek Physical Therapy
• Cherry Creek Restorative Dentistry
• Cherry Creek School District No. 5
• Cherry Creek South Dentistry
• Cherry Creek TC LLC
• Cherry Creek Transport LLC
• Cherry Glen Sight & Style, LLC
• Cherry Hills Counseling PLLC
• Cherry Hills Dental Assoc

• Sports Physician Chiropractor in Denver, CO
• Providers in Denver, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.