NPIMap

Organization Active NPI

Phase Pro Corporation

  • Chiropractor
  • Broomfield, CO
National Provider Identifier
1346419017
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4797 Issued in CO
Legal business name
PHASE PRO CORPORATION
Practice address
1140 US Highway 287
Ste 100
Broomfield, CO 80020-7080
Phone
(303) 469-0353
NPI assigned
Feb 26, 2008
Last updated
Apr 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Brian KenyonNPI 1447358122
Title
President
Phone
(303) 469-0353

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4797 CO Primary

Addresses

Primary practice location

1140 US Highway 287
Ste 100
Broomfield, CO 80020-7080

Mailing address

1140 US Highway 287
Ste 100
Broomfield, CO 80020-7080

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1346419017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 US HIGHWAY 287",
            "address_2": "STE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 US HIGHWAY 287",
            "address_2": "STE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207080",
            "telephone_number": "303-469-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE PRO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-469-0353"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.