Organization Active NPI

Trevor Van Wyk DC PC

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1639348386
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5044 Issued in CO
Legal business name
TREVOR VAN WYK DC PC
Practice address
7950 S Lincoln St Ste 104
Littleton, CO 80122-2713
Phone
(303) 794-8754
Fax
(303) 797-7262
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Trevor Van Wyk, D.C.NPI 1467525071
Title
President
Phone
(303) 794-8754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5044 CO Primary

Addresses

Primary practice location

7950 S Lincoln St Ste 104
Littleton, CO 80122-2713

Mailing address

7950 S Lincoln St Ste 104
Littleton, CO 80122-2713
Phone (303) 794-8754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000111 CO Part B Supplier - Clinic/Group Practice 6901794296 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

7231 S Broadway
Littleton, CO 80122
Phone (303) 794-8754

7950 S Lincoln St
Ste 104
Littleton, CO 80122
Phone (303) 794-8754

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1639348386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 S LINCOLN ST STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222713",
            "telephone_number": "303-794-8754",
            "fax_number": "303-797-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 S LINCOLN ST STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222713",
            "telephone_number": "303-794-8754",
            "fax_number": "303-797-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR VAN WYK DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "VAN WYK",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-794-8754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.