NPIMap

Organization Active NPI

Chiropractic Release, Inc.

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1700836780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5763 Issued in CO
Legal business name
CHIROPRACTIC RELEASE, INC.
Practice address
3011 Broadway St
#11
Boulder, CO 80304-3100
Phone
(720) 470-4016
Fax
(303) 499-5756
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sara S Berg, D.C.NPI 1285692160
Title
President
Phone
(720) 470-4016

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 5763 CO Primary

Addresses

Primary practice location

3011 Broadway St
#11
Boulder, CO 80304-3100

Mailing address

3011 Broadway St
#11
Boulder, CO 80304
Phone (720) 470-4016

National Provider Directory

National Provider Directory

Locations

3011 Broadway St
#11
Boulder, CO 80304
Phone (720) 470-4016

Practitioners & affiliated clinicians

Practitioners 2

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700836780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 BROADWAY ST",
            "address_2": "#11",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80304",
            "telephone_number": "720-470-4016",
            "fax_number": "303-499-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 BROADWAY ST",
            "address_2": "#11",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043100",
            "telephone_number": "720-470-4016",
            "fax_number": "303-499-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC RELEASE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-470-4016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.