The Source Studio

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE SOURCE STUDIO

Practice address

1213 W Eisenhower Blvd
Loveland, CO 80537-3128

Phone

(970) 776-9466

NPI assigned

Feb 3, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Ryan J. Enriquez, DCNPI 1891250932

Title

Chiropractor/Owner

Phone

(480) 444-8404

Specialties & licenses 1

Addresses

Other names 1

• Chironow Loveland Doing business as

Locations

Practitioners 1

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

• Ryan J. Enriquez, DC

  • Chiropractor
  • Loveland, CO
  • NPI 1891250932
  NPD (past) Authorized official

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549152000000",
    "number": "1437614575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 SAGUACHE PL",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373128",
            "telephone_number": "970-776-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOURCE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "480-444-8404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chironow Loveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Evangelical Lutheran Good Samaritan Society
• The Loveland Youth Clinic
• The Matthews House
• The Other Road Counseling PLLC
• The Other Road Counseling PLLC
• The Tungland Company, LLC
• The Wolf Pack Residential and Day Program Services Corp.
• Marvin John Thelen, RPH
• Theraswim, LLC
• Christina Thiemann

• Chiropractor in Loveland, CO
• Providers in Loveland, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.