Individual provider Active NPI

Dale Alan Hameister, DC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1639246424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2400 Issued in CO
Practice address
1650 38TH Street
Suite 204W
Boulder, CO 80301-2623
Phone
(303) 447-9700
Fax
(303) 447-0795
NPI assigned
Nov 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2400 CO Primary

Addresses

Primary practice location

1650 38TH Street
Suite 204W
Boulder, CO 80301-2623

Mailing address

1650 38TH Street Suite 204W
Mountainview Chiropractic Center
Boulder, CO 80301-2623
Phone (303) 447-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000789 CO Practitioner - Chiropractic 6709841356 Practice locations: Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1650 38TH St
Boulder, CO 80301-2637
Phone (303) 447-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2400COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hameister Chiroporactic Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639246424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 38TH STREET SUITE 204W",
            "address_2": "MOUNTAINVIEW CHIROPRACTIC CENTER",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012623",
            "telephone_number": "303-447-9700",
            "fax_number": "303-447-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 38TH STREET",
            "address_2": "SUITE 204W",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012623",
            "telephone_number": "303-447-9700",
            "fax_number": "303-447-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEISTER",
        "first_name": "DALE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2400",
            "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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.