Organization Active NPI

Optimal Health Chiropractic

  • Chiropractor
  • Broomfield, CO
National Provider Identifier
1700070729
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5118 Issued in CO
Legal business name
OPTIMAL HEALTH CHIROPRACTIC
Practice address
12995 Sheridan Blvd Ste 101
Broomfield, CO 80020-1488
Phone
(303) 466-3988
Fax
(303) 466-3878
NPI assigned
Sep 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Dustin Ferrell, DCNPI 1780706564
Title
Owner
Phone
(303) 438-3988

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 5118 CO Primary

Addresses

Primary practice location

12995 Sheridan Blvd Ste 101
Broomfield, CO 80020-1488

Mailing address

12995 Sheridan Blvd Ste 101
Broomfield, CO 80020-1488
Phone (303) 466-3988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1700070729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12995 SHERIDAN BLVD STE 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201488",
            "telephone_number": "303-466-3988",
            "fax_number": "303-466-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 SHERIDAN BLVD STE 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201488",
            "telephone_number": "303-466-3988",
            "fax_number": "303-466-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-438-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.