Mountain Rose Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6195 Issued in CO

Legal business name

MOUNTAIN ROSE CHIROPRACTIC LLC

Practice address

113 E 7TH St
Leadville, CO 80461-3505

Phone

(971) 322-9791

NPI assigned

May 8, 2009

Last updated

May 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Thomas Azeltine, D.C.NPI 1598938664

Title

Owner

Phone

(971) 322-9791

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ryan Azeltine, D.C.

  • Chiropractor
  • Leadville, CO
  • NPI 1598938664
  NPD (past) Authorized official

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1669606380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 LODESTONE DR",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613715",
            "telephone_number": "971-322-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 7TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613505",
            "telephone_number": "971-322-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ROSE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "AZELTINE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-322-9791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dawn Loveless, RBT
• Cynthia Kuehnle Macisaac
• Barbara Lynn Marcum, RN
• Christopher Dean Mele, M.T.
• Kathryn Moulton, FNP-C
• Susanne Bridgette Neal, LPC, LAC
• Camille Ness
• Colleen Nielsen
• Tyler J Norton, PA-C
• Omni Optometric Associates, LLC (Lake County Vision Center)

• Chiropractor in Leadville, CO
• Providers in Leadville, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.