Organization Active NPI

Lakewood Family Chiropractic Wellness Center, LLC

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1639499346
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6506 Issued in CO
Legal business name
LAKEWOOD FAMILY CHIROPRACTIC WELLNESS CENTER, LLC
Practice address
1990 Wadsworth Blvd
Suite #2
Lakewood, CO 80214-5287
Phone
(303) 238-6500
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Maura Murphy Heavey, D.C.
Title
Chiropractor
Phone
(802) 236-6838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6507 CO
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6506 CO Primary

Addresses

Primary practice location

1990 Wadsworth Blvd
Suite #2
Lakewood, CO 80214-5287

Mailing address

3835 Newton St
Denver, CO 80211-1955

Other names 1

  • Lakewood Back & Neck Center Doing business as

National Provider Directory

National Provider Directory

Locations

1990 Wadsworth Blvd
Ste 2
Lakewood, CO 80214
Phone (303) 232-8833

Practitioners & affiliated clinicians

Practitioners 1

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": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1639499346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 NEWTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WADSWORTH BLVD",
            "address_2": "SUITE #2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145287",
            "telephone_number": "303-238-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD FAMILY CHIROPRACTIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "HEAVEY",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "802-236-6838",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6507",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Back & Neck Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.