Active NPI
BW Chiropractic
- Chiropractor
- Boulder, CO
National Provider Identifier
1497874135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6002
- Legal business name
- BW CHIROPRACTIC
- Practice address
- 1500 Alpine Ave
Boulder, CO 80304-3508 - Phone
- (303) 449-7226
- Fax
- (303) 449-5009
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent Whitley, DC
- Title
- President
- Phone
- (303) 449-7226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6002 | CO | Primary |
Addresses
Primary practice location
1500 Alpine Ave
Boulder, CO 80304-3508
Mailing address
316 Highway 6 and 50 Ste B
Fruita, CO 81521-2642
Phone (970) 858-0544
Other names 1
- Quantum Chiropractic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Boulder, CO
- NPI 1780703413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497874135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 HIGHWAY 6 AND 50 STE B",
"city": "FRUITA",
"state": "CO",
"postal_code": "815212642",
"telephone_number": "970-858-0544",
"fax_number": "970-858-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ALPINE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043508",
"telephone_number": "303-449-7226",
"fax_number": "303-449-5009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BW CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITLEY",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-449-7226",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "6002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quantum Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boulder, CO
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.