Organization Active NPI

Ten Mile Chiropractic, P.C.

  • Preferred Provider Organization
  • Breckenridge, CO
National Provider Identifier
1508170168
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
4979 Issued in CO
Legal business name
TEN MILE CHIROPRACTIC, P.C.
Practice address
424 South Ridge Street
Breckenridge, CO 80424-8802
Phone
(970) 453-8282
Fax
(970) 453-0676
NPI assigned
Aug 5, 2010
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Jon Alvin Junkermeier, D.C.NPI 1851452858
Title
Owner/President
Phone
(970) 453-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 4979 CO Primary

Addresses

Primary practice location

424 South Ridge Street
Breckenridge, CO 80424-8802

Mailing address

PO Box 8802
Breckenridge, CO 80424-9001
Phone (970) 453-8282

Other identifiers 1

IdentifierTypeStateIssuer
4979OtherCOSTATE OF COLORADO LICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1508170168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8802",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804249001",
            "telephone_number": "970-453-8282",
            "fax_number": "970-453-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SOUTH RIDGE STREET",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248802",
            "telephone_number": "970-453-8282",
            "fax_number": "970-453-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN MILE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "JUNKERMEIER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "970-453-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO LICENSE NUMBER",
            "identifier": "4979",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.