One Hundred Percent Chiropractic Fort Collins One LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHR.0007427 Issued in CO

Legal business name

ONE HUNDRED PERCENT CHIROPRACTIC FORT COLLINS ONE LLC

Practice address

4532 McMurry Ave
Suite 120
Fort Collins, CO 80525-8022

Phone

(970) 294-4150

Fax

(970) 286-2913

NPI assigned

Apr 14, 2016

Last updated

May 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin Jacob Mayes, D.CNPI 1134503311

Title

Owner/Ceo

Phone

(303) 503-7525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Calvin J Mayes, DC

  • Chiropractor
  • Fort Collins, CO
  • NPI 1134503311
  Authorized official Same address or phone

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1518311646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 MCMURRY AVE",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258022",
            "telephone_number": "970-294-4150",
            "fax_number": "970-286-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 MCMURRY AVE",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258022",
            "telephone_number": "970-294-4150",
            "fax_number": "970-286-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HUNDRED PERCENT CHIROPRACTIC FORT COLLINS ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "303-503-7525",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "CHR.0007427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.