NPIMap

Organization Active NPI

Revolution Chiropractic

  • Health Service Clinic/Center
  • Arvada, CO
National Provider Identifier
1437589496
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0015359 Issued in CO
Legal business name
REVOLUTION CHIROPRACTIC
Practice address
8410 Wadsworth Blvd
Unit a
Arvada, CO 80003-0917
Phone
(303) 284-9875
Fax
(303) 284-1639
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Phillip Herschberger, D.C.
Title
Chiropractor
Phone
(303) 284-9875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0015359 CO Primary

Addresses

Primary practice location

8410 Wadsworth Blvd
Unit a
Arvada, CO 80003-0917

Mailing address

8410 Wadsworth Blvd
Unit a
Arvada, CO 80003-0917
Phone (303) 284-9875

National Provider Directory

National Provider Directory
Tax ID family
Revolution Chiropractic2 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.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1437589496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 WADSWORTH BLVD",
            "address_2": "UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030917",
            "telephone_number": "303-284-9875",
            "fax_number": "303-284-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 WADSWORTH BLVD",
            "address_2": "UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030917",
            "telephone_number": "303-284-9875",
            "fax_number": "303-284-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "HERSCHBERGER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "303-284-9875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "0015359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 12, 2013; 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.