Healthsource Enterprises PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7011 Issued in CO

Legal business name

HEALTHSOURCE ENTERPRISES PC

Practice address

5091 Kipling St
Ste 210
Wheat Ridge, CO 80033-2325

Phone

(720) 974-9477

Fax

(720) 974-9481

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Walker Mansolf, D.C.

Title

President

Phone

(720) 974-9477

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Arvada Ridge Doing business as

Locations

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1619300084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 KIPLING ST",
            "address_2": "STE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332325",
            "telephone_number": "720-974-9477",
            "fax_number": "720-974-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 KIPLING ST",
            "address_2": "STE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332325",
            "telephone_number": "720-974-9477",
            "fax_number": "720-974-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "MANSOLF",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-974-9477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "7011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Arvada Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.