Organization Active NPI

Cornerstone Health Clinic

  • Chiropractor
  • Castle Rock, CO
National Provider Identifier
1376889527
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0006904 Issued in CO
Legal business name
CORNERSTONE HEALTH CLINIC
Practice address
757 Maleta LN
Suite 102
Castle Rock, CO 80108-7612
Phone
(720) 524-4267
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Broderick Allen Sheard, D.C.
Title
Owner
Phone
(720) 524-4267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR.0006904 CO Primary

Addresses

Primary practice location

757 Maleta LN
Suite 102
Castle Rock, CO 80108-7612

Mailing address

757 Maleta LN
Suite 102
Castle Rock, CO 80108-7612
Phone (720) 524-4267

National Provider Directory

National Provider Directory

Locations

757 Maleta Ln
Ste 102
Castle Rock, CO 80108
Phone (720) 524-4267

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1376889527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 MALETA LN",
            "address_2": "SUITE 102",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087612",
            "telephone_number": "720-524-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 MALETA LN",
            "address_2": "SUITE 102",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087612",
            "telephone_number": "720-524-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "SHEARD",
        "authorized_official_first_name": "BRODERICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-524-4267",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0006904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.