Active NPI
Stephanie F Canada, D.C.
- Chiropractor
- Denver, CO
National Provider Identifier
1376638361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2805
- Practice address
- 1633 Fillmore St
Ste 107
Denver, CO 80206-1544 - Phone
- (303) 778-9321
- Fax
- (303) 778-6320
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2805 | CO | Primary |
Addresses
Primary practice location
1633 Fillmore St
Ste 107
Denver, CO 80206-1544
Mailing address
PO Box 18347
Denver, CO 80218-0347
Phone (303) 778-9321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2805 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1376638361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18347",
"city": "DENVER",
"state": "CO",
"postal_code": "802180347",
"telephone_number": "303-778-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 FILLMORE ST",
"address_2": "STE 107",
"city": "DENVER",
"state": "CO",
"postal_code": "802061544",
"telephone_number": "303-778-9321",
"fax_number": "303-778-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADA",
"first_name": "STEPHANIE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "2805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.