Individual provider Active NPI

Colby S Johnson, D.C., M.S.N.

  • Nutrition Chiropractor
  • Aurora, CO
National Provider Identifier
1699013466
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
0006950 Issued in CO
Practice address
18757 E Hampden Ave Ste 152
Aurora, CO 80013-3586
Phone
(303) 766-9626
NPI assigned
Jan 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 0006950 CO Primary

Addresses

Primary practice location

18757 E Hampden Ave Ste 152
Aurora, CO 80013-3586

Mailing address

12155 Lioness Way
Unit 103
Parker, CO 80134-5624
Phone (303) 925-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131029000817 CO Practitioner - Chiropractic 7810122801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12155 Lioness Way
Unit 103
Parker, CO 80134-5624
Phone (303) 925-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0006950COMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr J Chiropractic LLC CurrentSince Jul 15, 2013 Accepting new patients
Keppy Family Chiropractic Past Accepting new patients

Locations

18757 E Hampden Ave
Ste 152
Aurora, CO 80013
Phone (303) 766-9626

12155 Lioness Way
Unit 103
Parker, CO 80134
Phone (303) 500-7755

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1699013466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 LIONESS WAY",
            "address_2": "UNIT 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345624",
            "telephone_number": "303-925-0808",
            "fax_number": "303-790-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18757 E HAMPDEN AVE STE 152",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133586",
            "telephone_number": "303-766-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COLBY",
        "middle_name": "S",
        "credential": "D.C., M.S.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "0006950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.