Organization Active NPI

Spinebodyspirit PLLC

  • Chiropractor
  • Englewood, CO
National Provider Identifier
1407178502
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1039 Issued in AZ
Legal business name
SPINEBODYSPIRIT PLLC
Practice address
88 Inverness Circle E Uniti108
Englewood, CO 80112-5505
Phone
(602) 616-1602
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Dr Adrienne Frazer, DC
Title
Owner, Doctor
Phone
(602) 616-1602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1039 AZ Primary

Addresses

Primary practice location

88 Inverness Circle E Uniti108
Englewood, CO 80112-5505

Mailing address

88 Inverness Cir E Unit I108
Englewood, CO 80112-5515
Phone (602) 616-1602

Other names 1

  • SpineBodySpirit PLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Fraser Chiropractic 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

14301 N 87th St
Ste 316
Scottsdale, AZ 85260
Phone (480) 661-1919

15678 N Frank Lloyd Wright Blvd
Ste C2
Scottsdale, AZ 85260
Phone (480) 661-1919

88 Inverness Cir E
Unit I108
Englewood, CO 80112
Phone (602) 616-1602

88 Inverness Cir E
#108
Englewood, CO 80112
Phone (602) 616-1602

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1407178502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E UNIT I108",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125515",
            "telephone_number": "602-616-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIRCLE E UNITI108",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125505",
            "telephone_number": "602-616-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEBODYSPIRIT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "DR ADRIENNE",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "602-616-1602",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineBodySpirit PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.