NPIMap

Organization Active NPI

Grand Junction Chiropractic Center, P.C.

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1396840716
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1465 Issued in CO
Legal business name
GRAND JUNCTION CHIROPRACTIC CENTER, P.C.
Practice address
1910 N 12TH St
Suite F
Grand Junction, CO 81501-2912
Phone
(970) 241-1199
Fax
(970) 241-2047
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Terry Lynn Sweet, D.C.NPI 1215116900
Title
President
Phone
(970) 241-1199

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
Chiropractor 111N00000X 1465 CO Primary

Addresses

Primary practice location

1910 N 12TH St
Suite F
Grand Junction, CO 81501-2912

Mailing address

1910 N 12TH St
Suite F
Grand Junction, CO 81501-2912
Phone (970) 241-1199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916001269 CO Part B Supplier - Clinic/Group Practice 5991773095 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory
Tax ID family
Grand Junction Chiropractic Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1910 N 12th St
Ste F
Grand Junction, CO 81501
Phone (970) 241-1199

1916 N 12th St
Grand Junction, CO 81501
Phone (970) 241-1199

Practitioners & affiliated clinicians

Practitioners 5

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1396840716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N 12TH ST",
            "address_2": "SUITE F",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012912",
            "telephone_number": "970-241-1199",
            "fax_number": "970-241-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N 12TH ST",
            "address_2": "SUITE F",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012912",
            "telephone_number": "970-241-1199",
            "fax_number": "970-241-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND JUNCTION CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-241-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "1465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.