Organization Active NPI

Well Spine Family Chiropractic, LLC

  • Chiropractor
  • Louisville, CO
National Provider Identifier
1508110826
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR. 0006914 Issued in CO
Legal business name
WELL SPINE FAMILY CHIROPRACTIC, LLC
Practice address
245 Century Cir
Suite 204
Louisville, CO 80027-1696
Phone
(720) 214-6726
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Amber Nichole Thompson, D.C.NPI 1316291859
Title
Owner
Phone
(720) 214-6726

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR. 0006914 CO Primary

Addresses

Primary practice location

245 Century Cir
Suite 204
Louisville, CO 80027-1696

Mailing address

245 Century Cir
Suite 204
Louisville, CO 80027-1696
Phone (720) 214-6726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130326000459 CO Part B Supplier - Clinic/Group Practice 4486899226 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

3223 Arapahoe Ave
Ste 123
Boulder, CO 80303
Phone (720) 403-8255

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1508110826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CENTURY CIR",
            "address_2": "SUITE 204",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271696",
            "telephone_number": "720-214-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CENTURY CIR",
            "address_2": "SUITE 204",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271696",
            "telephone_number": "720-214-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPINE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-214-6726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR. 0006914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.