NPIMap

Organization Active NPI

Chiropractic Dimensions LLC

Doing business as Physical Dimensions Integrative Health Group

  • Chiropractor
  • Lone Tree, CO
National Provider Identifier
1659425346
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5889 Issued in CO
Legal business name
CHIROPRACTIC DIMENSIONS LLC
Doing business as
Physical Dimensions Integrative Health Group
Practice address
9068 Forsstrom Dr
C-25
Lone Tree, CO 80124-5577
Phone
(303) 925-1050
NPI assigned
Jan 22, 2007
Last updated
Dec 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Dr. Tyler Corbin Fowler, DCNPI 1346202736
Title
Partner
Phone
(303) 925-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5889 CO Primary
Chiropractor 111N00000X 5894 CO
Physical Therapist 225100000X NU

Addresses

Primary practice location

9068 Forsstrom Dr
C-25
Lone Tree, CO 80124-5577

Mailing address

9068 Forsstrom Dr
C-25
Lone Tree, CO 80124-5577
Phone (303) 925-1050

Other names 1

  • Physical Dimensions Integrative Health Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000155 CO Part B Supplier - Clinic/Group Practice 9739180449 Receives reassigned benefits from 9 practitioners
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

88 Inverness Cir E
Unit A106
Englewood, CO 80112
Phone (303) 726-6523

9068 Forsstrom Dr
Unit C25
Lone Tree, CO 80124
Phone (303) 925-1050

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1659425346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9068 FORSSTROM DR",
            "address_2": "C-25",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245577",
            "telephone_number": "303-925-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9068 FORSSTROM DR",
            "address_2": "C-25",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245577",
            "telephone_number": "303-925-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC DIMENSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "CORBIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-925-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5889",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5894",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Dimensions Integrative Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.