Louisville Chiropractic & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LOUISVILLE CHIROPRACTIC & WELLNESS, LLC

Doing business as

Summit Family Chiropractic

Practice address

333 West South Boulder Road
Suite 4
Louisville, CO 80027

Phone

(720) 457-9509

Fax

(720) 861-0979

NPI assigned

Oct 30, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric R Wilson, D.C.NPI 1093804155

Title

Owner

Phone

(805) 704-5376

Specialties & licenses 1

Addresses

Other names 1

• Summit Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Robert Wilson, DC

  • Chiropractor
  • Louisville, CO
  • NPI 1093804155
  Medicare reassignment NPD Authorized official
• Mindy Dolleman Carpenter, DC

  • Chiropractor
  • Lafayette, CO
  • NPI 1407694615
  Medicare reassignment NPD

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1437971348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WEST SOUTH BOULDER ROAD",
            "address_2": "SUITE 4",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "720-457-9509",
            "fax_number": "720-861-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WEST SOUTH BOULDER ROAD",
            "address_2": "SUITE 4",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "720-457-9509",
            "fax_number": "720-861-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-12-03",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-704-5376",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Lockhart, PH.D.
• Jocelyn Kate Long
• Brett Lopez, DMD
• Debra Kay Lopez, RNFA
• Robert M. Lorenz, D.D.S
• Louisville Dental Associates, PC
• Louisville Dental Prof. LLP (Comfort Dental Louisville)
• Louisville Dental Specialties and Implant Center
• Louisville Family Center, LLC
• Louisville Fire Protection District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.