Individual provider Active NPI

Adrienne M Frazer, D.C.

  • Chiropractor
  • Englewood, CO
National Provider Identifier
1417156340
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0008503 Issued in CO
Practice address
88 Inverness Cir E Unit I108
Englewood, CO 80112-5515
Phone
(602) 616-1602
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1039 AZ
Chiropractor 111N00000X CHR0008503 CO Primary

Addresses

Primary practice location

88 Inverness Cir E Unit I108
Englewood, CO 80112-5515

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
AZ0940740OtherAZBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CHR0008503COMDChiropractor
1039AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinebodyspirit PLLC Chiropractor CurrentSince Dec 28, 2022 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1417156340",
    "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 CIR E UNIT I108",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125515",
            "telephone_number": "602-616-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "ADRIENNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1039",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0008503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "AZ0940740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.