Individual provider Active NPI

J William Sova, D.C.B.S.

  • Chiropractor
  • Franktown, CO
National Provider Identifier
1689649139
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2303 Issued in CO
Practice address
236 Red Deer Rd
Franktown, CO 80116-8733
Phone
(303) 308-0241
Fax
(303) 308-0241
NPI assigned
Feb 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2303 CO Primary

Addresses

Primary practice location

236 Red Deer Rd
Franktown, CO 80116-8733

Mailing address

236 Red Deer Rd
Franktown, CO 80116-8733
Phone (303) 308-0241

Other identifiers 1

IdentifierTypeStateIssuer
08023038MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2303COMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689649139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 RED DEER RD",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801168733",
            "telephone_number": "303-308-0241",
            "fax_number": "303-308-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 RED DEER RD",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801168733",
            "telephone_number": "303-308-0241",
            "fax_number": "303-308-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVA",
        "first_name": "J",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08023038",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franktown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.