Colorado Chiropractic & Wellness PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6302 Issued in CO

Legal business name

COLORADO CHIROPRACTIC & WELLNESS PC

Doing business as

Centennial Chiropractic Clinic, Professional Corporation

Practice address

5020 S Federal Blvd
Englewood, CO 80110-6315

Phone

(303) 795-3668

Fax

(303) 795-3669

NPI assigned

Nov 2, 2011

Last updated

Apr 25, 2012By 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

Dr. Jordan P Mayer, D.C.NPI 1649416264

Title

Owner / Chiropractor

Phone

(720) 937-7198

Specialties & licenses 1

Addresses

Other names 1

• Centennial Chiropractic Clinic, Professional Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Jordan Paul Mayer, D.C.

  • Chiropractor
  • Englewood, CO
  • NPI 1649416264
  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Daniel Orrico

  • Chiropractor
  • Englewood, CO
  • NPI 1831612811
  Medicare reassignment Care Compare group NPD
• Curtis Ray Kannegieter, DC

  • Chiropractor
  • Centennial, CO
  • NPI 1851489512
  NPD (past)
• Bernard Michael O'Grady, CHIROPRACTOR

  • Orthopedic Chiropractor
  • Englewood, CO
  • NPI 1154429637
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1528344744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 S FEDERAL BLVD",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106315",
            "telephone_number": "303-795-3668",
            "fax_number": "303-795-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 S FEDERAL BLVD",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106315",
            "telephone_number": "303-795-3668",
            "fax_number": "303-795-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CHIROPRACTIC & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "720-937-7198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Chiropractic Clinic, Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.