Colorado Sports Chiropractic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHR.0007584 Issued in CO

Legal business name

COLORADO SPORTS CHIROPRACTIC

Practice address

1440 28TH St Ste 2
Boulder, CO 80303

Phone

(303) 736-9343

Fax

(844) 872-5595

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Minen, DCNPI 1548626088

Title

Owner

Phone

(303) 736-9343

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Minen, D.C.

  • Sports Physician Chiropractor
  • Boulder, CO
  • NPI 1548626088
  NPD Authorized official
• Amanda Peters, DC

  • Chiropractor
  • Boulder, CO
  • NPI 1649763996
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1396255568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 28TH ST STE 2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031030",
            "telephone_number": "303-736-9343",
            "fax_number": "844-872-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 28TH ST STE 2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-736-9343",
            "fax_number": "844-872-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2299 Pearl St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803024669",
            "country_code": "US",
            "telephone_number": "303-736-9343",
            "fax_number": "855-667-9565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Pearl St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803024669",
            "country_code": "US",
            "telephone_number": "303-736-9343",
            "fax_number": "855-667-9565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 28th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031030",
            "country_code": "US",
            "telephone_number": "303-736-9343",
            "fax_number": "844-872-5595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "MINEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-736-9343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR.0007584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colorado Recovert, Inc.
• Colorado Recovery LLC
• Colorado Sleep Company
• Allan James Coltrain, CSFA, LSA
• Columbine Foot & Ankle Center P C
• Julia Beth Colwell
• Committedhealth LLC
• Common Ground Therapeutics LLC

• Sports Physician Chiropractor in Boulder, CO
• Providers in Boulder, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.