Individual provider Active NPI

Robert Brown, DC

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1609573559
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008646 Issued in CO
Practice address
5714 W 89TH Ave
Westminster, CO 80031-2869
Phone
(303) 865-3355
Fax
(303) 865-3344
NPI assigned
Feb 10, 2023
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008646 CO Primary

Addresses

Primary practice location

5714 W 89TH Ave
Westminster, CO 80031-2869

Mailing address

5714 W 89TH Ave
Westminster, CO 80031-2869
Phone (303) 865-3355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220000923 CO Practitioner - Chiropractic 4486098308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Peterson Three LLC Chiropractor CurrentSince Feb 12, 2023 Accepting new patients
100 Chiro Westminster, LLC Chiropractor CurrentSince Jan 15, 2024 Accepting new patients

Locations

5714 W 89th Ave
Westminster, CO 80031
Phone (303) 865-3355

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1609573559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 W 89TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312869",
            "telephone_number": "303-865-3355",
            "fax_number": "303-865-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 W 89TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312869",
            "telephone_number": "303-865-3355",
            "fax_number": "303-865-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.