Organization Active NPI

Christopher Village Chiropractic Clinic

  • Chiropractor
  • Louisville, CO
National Provider Identifier
1659424000
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHRISTOPHER VILLAGE CHIROPRACTIC CLINIC
Practice address
1017 E South Boulder Rd Ste a
Louisville, CO 80027-2547
Phone
(303) 666-7717
Fax
(303) 666-7746
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John M Scott, D.C.
Title
Partner Owner Doctor
Phone
(303) 666-7717

Specialties & licenses 1

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

Addresses

Primary practice location

1017 E South Boulder Rd Ste a
Louisville, CO 80027-2547

Mailing address

1017 E South Boulder Rd Ste a
Louisville, CO 80027-2547
Phone (303) 666-7717

Other identifiers 2

IdentifierTypeStateIssuer
1797-3OtherCOBLUECROSS BLUESHIELD
M12057OtherCOWORKERS COMP

National Provider Directory

National Provider Directory

Locations

1017 S Boulder Rd
Ste A
Louisville, CO 80027
Phone (303) 666-7717

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659424000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E SOUTH BOULDER RD STE A",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272547",
            "telephone_number": "303-666-7717",
            "fax_number": "303-666-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E SOUTH BOULDER RD STE A",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272547",
            "telephone_number": "303-666-7717",
            "fax_number": "303-666-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER VILLAGE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER OWNER DOCTOR",
        "authorized_official_telephone_number": "303-666-7717",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1797-3",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "M12057",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.