Pacheco Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6845 Issued in CO

Legal business name

PACHECO CHIROPRACTIC AND WELLNESS LLC

Doing business as

Mainstreet Chiropractic

Practice address

19751 E Mainstreet Ste R10
Parker, CO 80138-7406

Phone

(720) 878-2422

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer L Williams

Title

Billing Manager

Phone

(720) 837-7195

Specialties & licenses 1

Addresses

Other names 1

• Mainstreet Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Frederico Vincente Pacheco, D.C.

  • Chiropractor
  • Littleton, CO
  • NPI 1053670752
  Medicare reassignment NPD

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1518216381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19751 E MAINSTREET STE R10",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387406",
            "telephone_number": "720-878-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19751 E MAINSTREET STE R10",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387406",
            "telephone_number": "720-878-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACHECO CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "720-837-7195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mainstreet Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mainstreet Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorna Dean Ottenbreit, PT
• Morgan Ouellette, OTD, OTR/L
• Oz Dynamic Therapy
• P2 Wellness
• Lindsay Renee Pace
• Leslie Packer, M.S.,CCC-A
• Brandon Antonio Paez
• Painted Rock Family Medicine LLC
• Aarti Maria Pais
• Angela Marie Palma, APN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.