Individual provider Active NPI

Michael C Vanaria, DC

  • Internist Chiropractor
  • Boulder, CO
National Provider Identifier
1649473232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
2186 Issued in CO
Practice address
2885 Aurora Ave
Suite 28
Boulder, CO 80303-2250
Phone
(303) 447-1656
Fax
(303) 833-5429
NPI assigned
Jun 9, 2007
Sex
Male
Sole proprietor
Yes

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
Internist Chiropractor 111NI0900X 2186 CO Primary

Addresses

Primary practice location

2885 Aurora Ave
Suite 28
Boulder, CO 80303-2250

Mailing address

2885 Aurora Ave
Suite 28
Boulder, CO 80303-2250
Phone (303) 447-1656

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2186COMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649473232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 AURORA AVE",
            "address_2": "SUITE 28",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032250",
            "telephone_number": "303-447-1656",
            "fax_number": "303-833-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 AURORA AVE",
            "address_2": "SUITE 28",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032250",
            "telephone_number": "303-447-1656",
            "fax_number": "303-833-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANARIA",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CO",
            "license": "2186",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.