4 Active Health Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0004671 Issued in CO

Legal business name

4 ACTIVE HEALTH INC

Practice address

1225 Ken Pratt Blvd
Suite 222
Longmont, CO 80501-6518

Phone

(303) 772-3100

NPI assigned

Sep 1, 2016

Last updated

Nov 9, 2021By 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

Dr. Jonathan C Shum, DCNPI 1740302975

Title

President

Phone

(303) 478-4678

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Jonathan C Shum, DC

  • Chiropractor
  • Longmont, CO
  • NPI 1740302975
  Medicare reassignment NPD Authorized official
• Michael L Larimore, DC

  • Chiropractor
  • Longmont, CO
  • NPI 1174534424
  NPD
• Andrew Romoda, L.AC

  • Acupuncturist
  • Longmont, CO
  • NPI 1700539475

  Single Specialty

  NPD
• Lauren Jordan, L.AC.

  • Acupuncturist
  • Loveland, CO
  • NPI 1003417403
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1467909804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 KEN PRATT BLVD",
            "address_2": "SUITE 222",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016518",
            "telephone_number": "303-772-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 KEN PRATT BLVD",
            "address_2": "SUITE 222",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016518",
            "telephone_number": "303-772-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 ACTIVE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SHUM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-478-4678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "0004671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A Caring Hand, Inc. (All Valley Homecare Longmont)
• Aaa Health Centered Dentistry PC (Dental by Nature)
• Madison Aaberg
• Paul Frederick Abbey, DDS

• Health Service Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.