Organization Active NPI

Living Health & Wellness Center

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1578887964
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6260 Issued in CO
Legal business name
LIVING HEALTH & WELLNESS CENTER
Practice address
1625 Folsom St
Boulder, CO 80302-6717
Phone
(303) 447-1625
Fax
(303) 443-9335
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Sande R Jacobson
Title
Owner
Phone
(303) 447-1625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6260 CO Primary

Addresses

Primary practice location

1625 Folsom St
Boulder, CO 80302-6717

Mailing address

1625 Folsom St
Boulder, CO 80302-6717
Phone (303) 447-1625

National Provider Directory

National Provider Directory

Locations

1625 Folsom St
Boulder, CO 80302
Phone (303) 447-1625

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1578887964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 FOLSOM ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026717",
            "telephone_number": "303-447-1625",
            "fax_number": "303-443-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 FOLSOM ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026717",
            "telephone_number": "303-447-1625",
            "fax_number": "303-443-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "SANDE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-447-1625"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.