Organization Active NPI

Jeffrey Walters PC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1689814030
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5611 Issued in CO
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

Updated by the provider on Feb 25, 2009

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7891OtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.