Individual provider Active NPI

Benjamin J Gottsche, D.C.

  • Chiropractor
  • Arvada, CO
National Provider Identifier
1639406127
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR-6429 Issued in CO
Practice address
12330 W 58TH Ave
Suite 4
Arvada, CO 80002-1243
Phone
(303) 420-4270
Fax
(303) 420-3490
NPI assigned
Nov 4, 2009
Last updated
Nov 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR-6429 CO Primary
Nutrition Chiropractor 111NN1001X CHR-6429 CO

Addresses

Primary practice location

12330 W 58TH Ave
Suite 4
Arvada, CO 80002-1243

Mailing address

12330 W 58TH Ave
Suite 4
Arvada, CO 80002-1243
Phone (303) 420-4270

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

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1639406127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 W 58TH AVE",
            "address_2": "SUITE 4",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021243",
            "telephone_number": "303-420-4270",
            "fax_number": "303-420-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 W 58TH AVE",
            "address_2": "SUITE 4",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021243",
            "telephone_number": "303-420-4270",
            "fax_number": "303-420-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHE",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-6429",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "CHR-6429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.