Longmont Spine Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LONGMONT SPINE CENTER INC

Practice address

2144 Main St.
Unit 3
Longmont, CO 80501

Phone

(303) 678-7170

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Scott O'Dell, D.C.

Title

Vice-President

Phone

(970) 219-8622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1649340522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 MAIN ST",
            "address_2": "SUITE 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018402",
            "telephone_number": "303-678-7170",
            "fax_number": "303-678-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 MAIN ST.",
            "address_2": "UNIT 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-678-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT SPINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "970-219-8622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Longmont Spine and Physical Medicine, LLC
• Longmont Surgery Center, LLC
• Longmont TC, LLC
• Longmont United Hospital
• Longmont United Hospital
• Longmont United Hospital

• All providers in Longmont, CO
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.