Individual provider Active NPI

Nicholas Levi Jason, D.C

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1336413079
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6821 Issued in CO
Practice address
7400 E Arapahoe Rd Ste 104
Centennial, CO 80112-1390
Phone
(303) 586-5999
NPI assigned
Feb 27, 2012
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6821 CO Primary

Addresses

Primary practice location

7400 E Arapahoe Rd Ste 104
Centennial, CO 80112-1390

Mailing address

3328 Paint Brush LN
Parker, CO 80138-4240
Phone (970) 308-1381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918002136 AK Practitioner - Chiropractic 4981942786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Medical CenterGroup PAC ID 1557798634, 3 clinicians

Practice addresses (Care Compare)

218 W 34TH Ave
Anchorage, AK 99503-3977
Phone (907) 290-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6821COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic Seward Chiropractor CurrentSince Jun 1, 2020 Accepting new patients
Arctic Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Progressive Inc Chiropractor PastSince Jun 1, 2020 Accepting new patients

Locations

218 W 34th Ave
Anchorage, AK 99503
Phone (907) 290-5500

11694 Seward Hwy
Ste C
Seward, AK 99664
Phone (907) 224-8680

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1336413079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 PAINT BRUSH LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801384240",
            "telephone_number": "970-308-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ARAPAHOE RD STE 104",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121390",
            "telephone_number": "303-586-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASON",
        "first_name": "NICHOLAS",
        "middle_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.