Active NPI
Dena Simmons, D.C., LLC
- Clinic/Center
- Fort Collins, CO
National Provider Identifier
1689174245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- CHR.0007227
- Legal business name
- DENA SIMMONS, D.C., LLC
- Practice address
- 105 Coronado CT Ste B-102
Fort Collins, CO 80525-4924 - Phone
- (760) 672-0780
- NPI assigned
- Feb 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dena Simmons, D.C.
- Title
- Owner
- Phone
- (760) 672-0780
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CHR.0007227 | CO | Primary |
Addresses
Primary practice location
105 Coronado CT Ste B-102
Fort Collins, CO 80525-4924
Mailing address
6394 Ozark Ave
Loveland, CO 80538-1805
Phone (760) 672-0780
Other names 1
- Vitality Chiropractic & Massage
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180307000550 | CO | Part B Supplier - Clinic/Group Practice | 4880955996 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Collins, CO |
National Provider Directory
National Provider DirectoryLocations
105 Coronado Ct
Unit B102
Fort Collins, CO 80525
Phone (760) 672-0780
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": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713139200000",
"number": "1689174245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6394 OZARK AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805381805",
"telephone_number": "760-672-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CORONADO CT STE B-102",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254924",
"telephone_number": "760-672-0780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENA SIMMONS, D.C., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "DENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-672-0780",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": "CHR.0007227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vitality Chiropractic & Massage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.