Elite Performance International

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4188 Issued in CO

Legal business name

ELITE PERFORMANCE INTERNATIONAL

Practice address

209 5TH St
Burlington, CO 80807-1930

Phone

(719) 346-7993

NPI assigned

Jul 23, 2012

Last updated

Jul 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard RamosNPI 1376645390

Title

Owner

Phone

(719) 346-7993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Richard Anthony Ramos, DC

  • Chiropractor
  • Burlington, CO
  • NPI 1376645390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1356696645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 5TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 5TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071930",
            "telephone_number": "719-346-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-346-7993"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Helen Dobler, RN, BSN
• Susan Marie Dorman, RN, CS-FNP
• Rachel Doty, PT, DPT
• Dynamic Dimensions Inc
• Dynamic Dimensions, Inc
• Endovascular Consultants of Colorado PC
• Dustin W Erickson
• Sara G Erickson, RN
• Fortmeyer Family Wellness Clinic LLC
• Jason John Fortmeyer, D.C.

• Chiropractor in Burlington, CO
• Providers in Burlington, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.