Organization Active NPI

Ethos Chiropractic LLC

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1295444768
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ETHOS CHIROPRACTIC LLC
Practice address
561 25 Rd Unit 104
Grand Junction, CO 81505-1360
Phone
(970) 989-9219
NPI assigned
Nov 23, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Dr. Samantha Wessel, DCNPI 1669181210
Title
Owner
Phone
(970) 989-9219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

561 25 Rd Unit 104
Grand Junction, CO 81505-1360

Mailing address

561 25 Rd Unit 104
Grand Junction, CO 81505-1360
Phone (970) 989-9219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221222001994 CO Part B Supplier - Clinic/Group Practice 2163892779 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

561 25 Rd
Ste 104
Grand Junction, CO 81505
Phone (970) 341-8967

561 25 Rd
Unit 104
Grand Junction, CO 81505
Phone (970) 989-9219

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1295444768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 25 RD UNIT 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051360",
            "telephone_number": "970-989-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 25 RD UNIT 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051360",
            "telephone_number": "970-989-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "WESSEL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-989-9219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.