NPIMap

Organization Active NPI

Chiropractic Dimensions of Mead LLC

Doing business as Physical Dimensions Integrative Health Group of Mead

  • Chiropractor
  • Mead, CO
National Provider Identifier
1306171228
Registry record updated Dec 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5889 Issued in CO
Legal business name
CHIROPRACTIC DIMENSIONS OF MEAD LLC
Doing business as
Physical Dimensions Integrative Health Group of Mead
Practice address
209 Main St Unit E
Mead, CO 80542
Phone
(970) 535-9900
NPI assigned
Oct 9, 2009
Last updated
Dec 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2010

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

Authorized official

Name
Dr. Tyler Corbin Fowler, DCNPI 1346202736
Title
Owner
Phone
(303) 925-1050

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5894 CO
Chiropractor 111N00000X 5889 CO Primary
Physical Therapist 225100000X

Addresses

Primary practice location

209 Main St Unit E
Mead, CO 80542

Mailing address

PO Box 745
Mead, CO 80542-0745

Other names 1

  • Physical Dimensions Integrative Health Group of Mead Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292112000000",
    "number": "1306171228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "MEAD",
            "state": "CO",
            "postal_code": "805420745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST UNIT E",
            "city": "MEAD",
            "state": "CO",
            "postal_code": "80542",
            "telephone_number": "970-535-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC DIMENSIONS OF MEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2010-12-12",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "CORBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-925-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5894",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5889",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Dimensions Integrative Health Group of Mead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mead, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2010; 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.