Organization Active NPI

Ridge Line Chiropractic LLC

  • Chiropractor
  • Lone Tree, CO
National Provider Identifier
1386949303
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR-6422 Issued in CO
Legal business name
RIDGE LINE CHIROPRACTIC LLC
Practice address
9894 Rosemont Ave Ste 103
Lonetree, CO 80124-4103
Phone
(303) 790-1455
NPI assigned
Jan 23, 2011
Last updated
Jan 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

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

Authorized official

Name
Jonathon Mainieri, D.C.
Title
President
Phone
(303) 790-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR-6422 CO Primary

Addresses

Primary practice location

9894 Rosemont Ave Ste 103
Lonetree, CO 80124-4103

Mailing address

9894 Rosemont Ave Ste 103
Lonetree, CO 80124-4103
Phone (303) 790-1455

National Provider Directory

National Provider Directory

Locations

9894 Rosemont Ave
Ste 103
Lone Tree, CO 80124
Phone (303) 790-1450

NPI Registry JSON

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295740800000",
    "number": "1386949303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 ROSEMONT AVE STE 103",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801244103",
            "telephone_number": "303-790-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 ROSEMONT AVE STE 103",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801244103",
            "telephone_number": "303-790-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE LINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-23",
        "last_updated": "2011-01-23",
        "status": "A",
        "authorized_official_last_name": "MAINIERI",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-790-1455",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-6422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; 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.