Organization Active NPI

Parker Pain Relief Clinic

  • Chiropractor
  • Parker, CO
National Provider Identifier
1417407925
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0004652 Issued in CO
Legal business name
PARKER PAIN RELIEF CLINIC
Practice address
18901 E Mainstreet
Ste C
Parker, CO 80134-3474
Phone
(720) 851-0600
Fax
(720) 851-0508
NPI assigned
Oct 7, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Dr. Philip Anthony Paolucci, D,C,
Title
Practitioner
Phone
(720) 851-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR0004652 CO Primary

Addresses

Primary practice location

18901 E Mainstreet
Ste C
Parker, CO 80134-3474

Mailing address

18901 E Mainstreet
Ste C
Parker, CO 80134-3474
Phone (720) 851-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1417407925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 E MAINSTREET",
            "address_2": "STE C",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343474",
            "telephone_number": "720-851-0600",
            "fax_number": "720-851-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 E MAINSTREET",
            "address_2": "STE C",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343474",
            "telephone_number": "720-851-0600",
            "fax_number": "720-851-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER PAIN RELIEF CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "PAOLUCCI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "720-851-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0004652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.