Ceo Westminster Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3470 Issued in CO

Legal business name

CEO WESTMINSTER INC

Doing business as

Lifetime Health & Wellness

Practice address

8155 W 94TH Avenue
Broomfield, CO 80021

Phone

(303) 423-4610

Fax

(303) 431-8658

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randy B Snyder, DCNPI 1386723872

Title

President

Phone

(303) 423-4610

Specialties & licenses 3

Addresses

Other names 1

• Lifetime Health & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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

• Randy Bruce Snyder, DC

  • Chiropractor
  • Broomfield, CO
  • NPI 1386723872
  Medicare reassignment Care Compare group NPD Authorized official
• Graison Tjelle

  • Chiropractor
  • Eatontown, NJ
  • NPI 1215577143

  CO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477613669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 W 94TH AVENUE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-423-4610",
            "fax_number": "303-431-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 W 94TH AVENUE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-423-4610",
            "fax_number": "303-431-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEO WESTMINSTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-423-4610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2951",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3470",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.