Active NPI
Eric Dax Rupp, D.C.
- Sports Physician Chiropractor
- Arvada, CO
National Provider Identifier
1679502090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5883
- Practice address
- 8410 Wadsworth Blvd
Suite a
Arvada, CO 80003-0917 - Phone
- (303) 425-9557
- Fax
- (303) 425-3399
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5883 | CO | Primary |
Addresses
Primary practice location
8410 Wadsworth Blvd
Suite a
Arvada, CO 80003-0917
Mailing address
9734 Iris St
Westminster, CO 80021-4266
Phone (303) 456-6351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4125 Snowbird Ave
Broomfield, CO 80020-7946
Phone (303) 465-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5883 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Life Chiropractic and Wellness, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Arvada, CO
- NPI 1669487351
-
- Chiropractor
- Arvada, CO
- NPI 1992967939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1679502090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9734 IRIS ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800214266",
"telephone_number": "303-456-6351",
"fax_number": "303-425-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 WADSWORTH BLVD",
"address_2": "SUITE A",
"city": "ARVADA",
"state": "CO",
"postal_code": "800030917",
"telephone_number": "303-425-9557",
"fax_number": "303-425-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPP",
"first_name": "ERIC",
"middle_name": "DAX",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "5883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.