Active NPI
Mary G Elsea, DC
- Chiropractor
- Boulder, CO
National Provider Identifier
1619066321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2747
- Practice address
- 4150 Darley Ave
Suite 6
Boulder, CO 80305-6537 - Phone
- (303) 499-5000
- Fax
- (303) 499-4962
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2747 | CO | Primary |
Addresses
Primary practice location
4150 Darley Ave
Suite 6
Boulder, CO 80305-6537
Mailing address
4150 Darley Ave
Suite 6
Boulder, CO 80305-6537
Phone (303) 499-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1619066321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 DARLEY AVE",
"address_2": "SUITE 6",
"city": "BOULDER",
"state": "CO",
"postal_code": "803056537",
"telephone_number": "303-499-5000",
"fax_number": "303-499-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DARLEY AVE",
"address_2": "SUITE 6",
"city": "BOULDER",
"state": "CO",
"postal_code": "803056537",
"telephone_number": "303-499-5000",
"fax_number": "303-499-4962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSEA",
"first_name": "MARY",
"middle_name": "G",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "2747",
"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 Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.