Pain Free Living Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4777 Issued in CO

Legal business name

PAIN FREE LIVING CENTER

Practice address

4275 Harlan St
Wheat Ridge, CO 80033-5119

Phone

(303) 940-7167

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan E Wall, DC

Title

Proprietor

Phone

(303) 940-7167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1689833592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335119",
            "telephone_number": "303-940-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335119",
            "telephone_number": "303-940-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN FREE LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "303-940-7167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Padilla
• Stacy Page, DO
• Paige Pagel
• Leo Seung Kon Paik, M.D.
• Pain Centers of America
• Karen D Palaoro
• Lauren Hayes Palma, MSW
• Andrea Danette Palmer, CMT LMT
• Alondra Samantha Palomino, PA-C
• Thomas J Pals, LPC

• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.