NPIMap

Organization Active NPI

Robert C Nelson, DC, PC

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1396054185
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2664 Issued in CO
Legal business name
ROBERT C NELSON, DC, PC
Practice address
84 Garrison St
Unit B
Lakewood, CO 80226-7426
Phone
(303) 205-0501
Fax
(303) 205-0570
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Robert C Nelson, DC, DACBSPNPI 1760580906
Title
President
Phone
(303) 205-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2664 CO Primary

Addresses

Primary practice location

84 Garrison St
Unit B
Lakewood, CO 80226-7426

Mailing address

84 Garrison St
Unit B
Lakewood, CO 80226-7426
Phone (303) 205-0501

Other identifiers 1

IdentifierTypeStateIssuer
350052272OtherRAILROAD MEDICARE

Other names 1

  • Nelson Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

84 Garrison St
Unit B
Lakewood, CO 80226
Phone (303) 205-0501

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1396054185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GARRISON ST",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267426",
            "telephone_number": "303-205-0501",
            "fax_number": "303-205-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GARRISON ST",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267426",
            "telephone_number": "303-205-0501",
            "fax_number": "303-205-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C NELSON, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-205-0501",
        "authorized_official_credential": "DC, DACBSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.