Organization Active NPI

Adio Chiropractic Center LLC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1528495181
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4184 Issued in CO
Legal business name
ADIO CHIROPRACTIC CENTER LLC
Practice address
20269 E Smoky Hill Rd
Suite J
Centennial, CO 80015-3111
Phone
(303) 766-5588
Fax
(303) 766-4511
NPI assigned
Sep 27, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Matthew Dickson, D.C.NPI 1750578118
Title
Owner
Phone
(303) 766-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4184 CO Primary

Addresses

Primary practice location

20269 E Smoky Hill Rd
Suite J
Centennial, CO 80015-3111

Mailing address

20269 E Smoky Hill Rd
Suite J
Centennial, CO 80015-3111
Phone (303) 766-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140116000177 CO Part B Supplier - Clinic/Group Practice 0547498768 Receives reassigned benefits from 1 practitioner
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

20269 E Smoky Hill Rd
Unit J
Centennial, CO 80015
Phone (303) 766-5588

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1528495181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20269 E SMOKY HILL RD",
            "address_2": "SUITE J",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153111",
            "telephone_number": "303-766-5588",
            "fax_number": "303-766-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20269 E SMOKY HILL RD",
            "address_2": "SUITE J",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153111",
            "telephone_number": "303-766-5588",
            "fax_number": "303-766-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIO CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-766-5588",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4184",
            "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 Dec 6, 2013; 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.