NPIMap

Organization Active NPI

CJ Chiropractic, LLC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1346608908
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007379 Issued in CO
Legal business name
CJ CHIROPRACTIC, LLC
Practice address
2155 Hollow Brook Dr
Suite 70
Colorado Springs, CO 80918-1451
Phone
(719) 445-0806
Fax
(719) 445-0998
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Dr. Jenna Lea Bridgewater, D.C.NPI 1114385788
Title
Co-Owner/Chiropractor
Phone
(719) 445-0806

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X EL.2786474 CO
Chiropractor 111N00000X CHR.0007379 CO Primary

Addresses

Primary practice location

2155 Hollow Brook Dr
Suite 70
Colorado Springs, CO 80918-1451

Mailing address

2155 Hollow Brook Dr
Suite 70
Colorado Springs, CO 80918-1451
Phone (719) 445-0806

National Provider Directory

National Provider Directory

Locations

2155 Hollow Brook Dr
Ste 70
Colorado Springs, CO 80918
Phone (719) 266-5244

Practitioners & affiliated clinicians

Practitioners 3

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": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1346608908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DR",
            "address_2": "SUITE 70",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181451",
            "telephone_number": "719-445-0806",
            "fax_number": "719-445-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DR",
            "address_2": "SUITE 70",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181451",
            "telephone_number": "719-445-0806",
            "fax_number": "719-445-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CO-OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "719-445-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "EL.2786474",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.