NPIMap

Organization Active NPI

Thrive Wheat Ridge LLC

  • Chiropractor
  • Arvada, CO
National Provider Identifier
1407223589
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007119 Issued in CO
Legal business name
THRIVE WHEAT RIDGE LLC
Practice address
5310 Ward Rd Ste 106
Arvada, CO 80002-1829
Phone
(720) 542-3260
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Ms. Robyn Brackett
Title
Practice Manager
Phone
(719) 475-8676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR.0007119 CO Primary

Addresses

Primary practice location

5310 Ward Rd Ste 106
Arvada, CO 80002-1829

Mailing address

20 Mount View LN Ste C
Colorado Springs, CO 80907-4359
Phone (949) 338-4851

Other names 1

  • Thrive Health Systems Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151105001921 CO Part B Supplier - Clinic/Group Practice 0042520991 Receives reassigned benefits from 4 practitioners
Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

4675 Centennial Blvd
Colorado Springs, CO 80919
Phone (719) 475-8676

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1407223589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MOUNT VIEW LN STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074359",
            "telephone_number": "949-338-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 WARD RD STE 106",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021829",
            "telephone_number": "720-542-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WHEAT RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-475-8676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Health Systems",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.