Active NPI
Jeanne M Desroche, D.C.
- Nutrition Chiropractor
- Centennial, CO
National Provider Identifier
1508951369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2493
- Practice address
- 6500 S Quebec St
Suite 100
Centennial, CO 80111-4671 - Phone
- (303) 741-2444
- Fax
- (303) 741-0949
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2493 | CO | Primary |
Addresses
Primary practice location
6500 S Quebec St
Suite 100
Centennial, CO 80111-4671
Mailing address
6500 S Quebec St
Suite 100
Centennial, CO 80111-4671
Phone (303) 741-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2493 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508951369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 S QUEBEC ST",
"address_2": "SUITE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114671",
"telephone_number": "303-741-2444",
"fax_number": "303-741-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 S QUEBEC ST",
"address_2": "SUITE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114671",
"telephone_number": "303-741-2444",
"fax_number": "303-741-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESROCHE",
"first_name": "JEANNE",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "2493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.