Bovadilla Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOVADILLA CHIROPRACTIC CLINIC INC

Doing business as

Bovadilla Chiropractic Clinic

Practice address

4045 Wadsworth Blvd Ste 307
Wheat Ridge, CO 80033-4626

Phone

(303) 647-8131

Fax

(918) 770-8208

NPI assigned

Dec 18, 2006

Last updated

Oct 5, 2022By 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

George Bovadilla, D.C.NPI 1417975897

Title

Chiropractor

Phone

(918) 850-6000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bovadilla Chiropractic Clinic Doing business as

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.

• George Bovadilla, D.C.

  • Chiropractor
  • Wheat Ridge, CO
  • NPI 1417975897
  Authorized official Same address or phone

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1366505836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 307",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334626",
            "telephone_number": "303-647-8131",
            "fax_number": "918-493-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 307",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334626",
            "telephone_number": "303-647-8131",
            "fax_number": "918-770-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOVADILLA CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "BOVADILLA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-850-6000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF DOCTOR",
            "identifier": "1417975897",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bovadilla Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Bossard
• Michiyo S Bottjer
• Crystal Amber Bouchard, ED.S./M.S.
• Boulder Cognitive and Linguistic Center Inc (Colorado Concussion Clinic)
• Courtney M Bourne
• George Bovadilla, D.C.
• Rian M Bovard-Johns, MSW
• Laura Jenell Bowen
• Daniela T Bowers, FNP-C
• Harley Bryce Bowers

• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.