Organization Active NPI

Meridian Chiropractic Inc

Doing business as Meridian Chiropractic Health Center

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1407115512
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4856 Issued in CO
Legal business name
MERIDIAN CHIROPRACTIC INC
Doing business as
Meridian Chiropractic Health Center
Practice address
2750 S Wadsworth Blvd
Suite C109
Lakewood, CO 80227-3480
Phone
(720) 963-1200
Fax
(720) 963-1223
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Kristin K Hoffman, DCNPI 1831219351
Title
Owner
Phone
(720) 963-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4856 CO Primary

Addresses

Primary practice location

2750 S Wadsworth Blvd
Suite C109
Lakewood, CO 80227-3480

Mailing address

2750 S Wadsworth Blvd
Suite C109
Lakewood, CO 80227-3480
Phone (720) 963-1200

Other names 1

  • Meridian Chiropractic Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120710000582 CO Part B Supplier - Clinic/Group Practice 8224293618 Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Locations

2750 S Wadsworth Blvd
Ste C-109
Lakewood, CO 80227
Phone (720) 963-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1407115512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S WADSWORTH BLVD",
            "address_2": "SUITE C109",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273480",
            "telephone_number": "720-963-1200",
            "fax_number": "720-963-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S WADSWORTH BLVD",
            "address_2": "SUITE C109",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273480",
            "telephone_number": "720-963-1200",
            "fax_number": "720-963-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-963-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 2012; 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.