Good Life Chiropractic LLC
Organization Active NPI Chiropractor · Peyton, CO
NPI 1477899722 · NPPES record last updated Jun 30, 2014
Key facts
- NPI
- 1477899722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6437 (CO)
- Legal business name
- GOOD LIFE CHIROPRACTIC LLC
- Practice address
- 7495 McLaughlin Rd
Suite 103
Peyton, CO 80831-4706 - Phone
- (719) 469-2657
- NPI assigned
- Dec 13, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Melissa Ann Menges-Smith, DC
- Title
- Chiropractor, Owner
- Phone
- (719) 469-2657
Practitioners 1
-
Melissa Ann Menges Smith, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130426000175 | CO | Part B Supplier - Clinic/Group Practice | 2062658602 |
Receives reassigned benefits from 1 practitioner Practice locations: Peyton, CO |
National Provider Directory
Locations
7495 McLaughlin Rd
Ste 103
Peyton, CO 80831
Phone (719) 334-3347
7495 McLaughlin Rd
Ste 101
Peyton, CO 80831
Phone (719) 358-9941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 6437 | CO | Yes |
Addresses
Primary practice location
7495 McLaughlin Rd
Suite 103
Peyton, CO 80831-4706
Mailing address
12511 Medinah Rd
Peyton, CO 80831-4127
Phone (719) 469-2657
Other providers in Peyton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.