Realize Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REALIZE CHIROPRACTIC, LLC

Practice address

2790 N Academy Blvd Ste 342
Colorado Springs, CO 80917-5305

Phone

(719) 203-7205

NPI assigned

Mar 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Michael Busa, D.C.

Title

Owner/Head Chiropractor

Phone

(719) 203-7205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1487016440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 N ACADEMY BLVD STE 342",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175305",
            "telephone_number": "719-203-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 N ACADEMY BLVD STE 342",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175305",
            "telephone_number": "719-203-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALIZE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "BUSA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/HEAD CHIROPRACTOR",
        "authorized_official_telephone_number": "719-203-7205",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.