NPIMap

Organization Active NPI

Imperidigm LLC

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1366066094
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IMPERIDIGM LLC
Practice address
5601 S Broadway Ste 50
Littleton, CO 80121-8010
Phone
(720) 389-9480
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Lindsey Squibb, DCNPI 1720550411
Title
Owner
Phone
(510) 736-5730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

5601 S Broadway Ste 50
Littleton, CO 80121-8010

Mailing address

5601 S Broadway Ste 50
Littleton, CO 80121-8010
Phone (720) 389-9480

Other names 1

  • Imperium Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112000504 CO Part B Supplier - Clinic/Group Practice 3971913435 Receives reassigned benefits from 2 practitioners
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

12 N Broadway
#224
Denver, CO 80203
Phone (510) 736-5730

5601 S Broadway
Ste 50
Littleton, CO 80121
Phone (720) 389-9480

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1366066094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 S BROADWAY STE 50",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218010",
            "telephone_number": "720-389-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S BROADWAY STE 50",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218010",
            "telephone_number": "720-389-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIDIGM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "SQUIBB",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-736-5730",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperium Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imperium Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.