Organization Active NPI

Baseline Chiropractic

  • Chiropractor
  • Lafayette, CO
National Provider Identifier
1700060951
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5009 Issued in CO
Legal business name
BASELINE CHIROPRACTIC
Practice address
489 N Hwy 287 Ste190
Lafayette, CO 80026-8905
Phone
(303) 604-2600
NPI assigned
Dec 24, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Jason Leach, DCNPI 1538231485
Title
Owner
Phone
(303) 604-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5009 CO Primary

Addresses

Primary practice location

489 N Hwy 287 Ste190
Lafayette, CO 80026-8905

Mailing address

489 N Highway 287 Suite 190
Lafayette, CO 80026-8905
Phone (303) 604-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000365 CO Part B Supplier - Clinic/Group Practice 6204725443 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, CO

National Provider Directory

National Provider Directory

Locations

1319 W Baseline Rd
Ste 101A
Lafayette, CO 80026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1700060951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N HIGHWAY 287 SUITE 190",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268905",
            "telephone_number": "303-604-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 N HWY 287 STE190",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268905",
            "telephone_number": "303-604-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-604-2600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.