Individual provider Active NPI

Randy Bruce Snyder, DC

  • Chiropractor
  • Broomfield, CO
National Provider Identifier
1386723872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2951 Issued in CO
Practice address
8155 W 94TH Avenue
Broomfield, CO 80021
Phone
(303) 423-4610
Fax
(303) 431-8658
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2951 CO Primary

Addresses

Primary practice location

8155 W 94TH Avenue
Broomfield, CO 80021

Mailing address

8155 W 94TH Avenue
Broomfield, CO 80021
Phone (303) 423-4610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000027 CO Practitioner - Chiropractic 7911165170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Ceo Westminster IncGroup PAC ID 7012175276, 2 clinicians

Practice addresses (Care Compare)

8155 W 94TH Ave
Broomfield, CO 80021-4515
Phone (303) 423-4610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ceo Westminster Inc Chiropractor CurrentSince Nov 7, 2011 Accepting new patients

Locations

8155 W 94th Ave
Westminster, CO 80021
Phone (303) 423-4610

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386723872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 W 94TH AVENUE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-423-4610",
            "fax_number": "303-431-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 W 94TH AVENUE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-423-4610",
            "fax_number": "303-431-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "RANDY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.