Elite Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5012 Issued in CO

Legal business name

ELITE CHIROPRACTIC INC

Practice address

1020 W Century Dr Ste 101
Louisville, CO 80027-1679

Phone

(303) 516-1517

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joel Fry, DC

Title

Owner

Phone

(303) 516-1517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1548575228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W CENTURY DR STE 101",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271679",
            "telephone_number": "303-516-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W CENTURY DR STE 101",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271679",
            "telephone_number": "303-516-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 McCaslin Blvd",
            "address_2": "Unit A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800272914",
            "country_code": "US",
            "telephone_number": "303-516-1517",
            "fax_number": "303-604-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-516-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.