Organization Active NPI

Rejuvinnate Family Chiropractic, LLC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1609242585
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007110 Issued in CO
Legal business name
REJUVINNATE FAMILY CHIROPRACTIC, LLC
Practice address
9137 E Mineral Cir Ste 380
Centennial, CO 80112-3424
Phone
(303) 975-6523
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Victoria Lai, D.C.
Title
Chiropractor/Owner
Phone
(720) 633-4172

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CHR.0007110 CO Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X CHR.0007110 CO
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X CHR.0007141 CO

Addresses

Primary practice location

9137 E Mineral Cir Ste 380
Centennial, CO 80112-3424

Mailing address

9137 E Mineral Cir Ste 380
Centennial, CO 80112-3424
Phone (303) 975-6523

Other practice location 1

10464 E 29th Dr
102
Denver, CO 80238-3571
Phone (720) 464-6690

National Provider Directory

National Provider Directory

Locations

9137 E Mineral Cir
Ste 380
Centennial, CO 80112
Phone (303) 790-7650

7300 S Alton Way
Ste 5-K
Centennial, CO 80112
Phone (303) 975-6523

10464 E 29th Dr
Ste 102
Denver, CO 80238
Phone (720) 464-6690

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1609242585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 380",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123424",
            "telephone_number": "303-975-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 380",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123424",
            "telephone_number": "303-975-6523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10464 E 29th Dr",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802383571",
            "country_code": "US",
            "telephone_number": "720-464-6690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REJUVINNATE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "720-633-4172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007110",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "CHR.0007110",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR.0007141",
            "primary": false
        }
    ],
    "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 Nov 10, 2022; 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.