George Bovadilla, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007121 Issued in CO

Practice address

4045 Wadsworth Blvd Ste 307
Wheat Ridge, CO 80033-4626

Phone

(303) 647-8136

Fax

(918) 770-8208

NPI assigned

Jul 17, 2006

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Bovadilla Chiropractic Clinic Inc

  dba Bovadilla Chiropractic Clinic

  • Chiropractor
  • Wheat Ridge, CO
  • NPI 1366505836
  Authorized official Same address or phone

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1417975897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 307",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334626",
            "telephone_number": "303-647-8136",
            "fax_number": "918-493-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 307",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334626",
            "telephone_number": "303-647-8136",
            "fax_number": "918-770-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVADILLA",
        "first_name": "GEORGE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007121",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "AC.2786112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michiyo S Bottjer
• Crystal Amber Bouchard, ED.S./M.S.
• Boulder Cognitive and Linguistic Center Inc (Colorado Concussion Clinic)
• Courtney M Bourne
• Bovadilla Chiropractic Clinic Inc (Bovadilla Chiropractic Clinic)
• Rian M Bovard-Johns, MSW
• Laura Jenell Bowen
• Daniela T Bowers, FNP-C
• Harley Bryce Bowers
• Dianne Elaine Boyce, RN

• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.