Organization Active NPI

Summey Chiropractic P.C.

  • Orthopedic Chiropractor
  • Longmont, CO
National Provider Identifier
1679776637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1507 Issued in CO
Legal business name
SUMMEY CHIROPRACTIC P.C.
Practice address
421 21St Ave
Suite 2
Longmont, CO 80501-1469
Phone
(303) 776-2939
Fax
(303) 776-3391
NPI assigned
Jun 7, 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
Dr. Stephen R Summey, D.C.
Title
Owner President
Phone
(303) 776-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 1507 CO Primary

Addresses

Primary practice location

421 21St Ave
Suite 2
Longmont, CO 80501-1469

Mailing address

421 21St Ave
Suite 2
Longmont, CO 80501-1469
Phone (303) 776-2939

Other identifiers 1

IdentifierTypeStateIssuer
08150708MedicaidCO

National Provider Directory

National Provider Directory

Locations

421 21st Ave
Ste 2
Longmont, CO 80501
Phone (303) 776-2939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679776637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 21ST AVE",
            "address_2": "SUITE 2",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011469",
            "telephone_number": "303-776-2939",
            "fax_number": "303-776-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 21ST AVE",
            "address_2": "SUITE 2",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011469",
            "telephone_number": "303-776-2939",
            "fax_number": "303-776-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMEY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMMEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "303-776-2939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CO",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08150708",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, 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.