Active NPI
Jeffrey Walters PC
- Acupuncturist
- Boulder, CO
National Provider Identifier
1689814030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5611
- Legal business name
- JEFFREY WALTERS PC
- Practice address
- 1800 30TH St
Suite 201 Office E
Boulder, CO 80301-1088 - Phone
- (303) 448-9098
- NPI assigned
- Feb 25, 2009
- 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
- Jeffrey Walters, D.C., ACUPUNCTURIST
- Title
- President
- Phone
- (303) 448-9098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5611 | CO | Primary |
Addresses
Primary practice location
1800 30TH St
Suite 201 Office E
Boulder, CO 80301-1088
Mailing address
1630 30TH St Ste a
#167
Boulder, CO 80301-1045
Phone (303) 448-9098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7891 | Other | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
1630 30th St
Ste A
Boulder, CO 80301
Phone (720) 938-1978
1800 30th St
Ste 201E
Boulder, CO 80301
Phone (303) 448-9098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235520000000",
"number": "1689814030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 30TH ST STE A",
"address_2": "#167",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011045",
"telephone_number": "303-448-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 30TH ST",
"address_2": "SUITE 201 OFFICE E",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011088",
"telephone_number": "303-448-9098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY WALTERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-448-9098",
"authorized_official_credential": "D.C., ACUPUNCTURIST"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CO",
"license": "5611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "7891",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.