Organization Active NPI

Firestone Chiropractic LLC

Doing business as Firestone Chiropractic

  • Health Maintenance Organization
  • Firestone, CO
National Provider Identifier
1710275029
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
6662 Issued in CO
Legal business name
FIRESTONE CHIROPRACTIC LLC
Doing business as
Firestone Chiropractic
Practice address
8310 Colorado Blvd Ste 700
Firestone, CO 80504-6816
Phone
(303) 485-1922
Fax
(303) 485-1924
NPI assigned
Jul 20, 2011
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Dean Lester Wright, DCNPI 1194299149
Title
Owner/Chiropractor
Phone
(720) 317-4995

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
Health Maintenance Organization 302R00000X 6662 CO Primary

Addresses

Primary practice location

8310 Colorado Blvd Ste 700
Firestone, CO 80504-6816

Mailing address

8310 Colorado Blvd Ste 700
Firestone, CO 80504-6816
Phone (303) 485-1922

Other names 1

  • Firestone Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111017000351 CO Part B Supplier - Clinic/Group Practice 1355513391 Receives reassigned benefits from 1 practitioner
Practice locations: Firestone, CO

National Provider Directory

National Provider Directory

Locations

6050 Firestone Blvd
Unit 205
Firestone, CO 80504
Phone (303) 485-1922

Practitioners & affiliated clinicians

Practitioners 3

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1710275029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 COLORADO BLVD STE 700",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805046816",
            "telephone_number": "303-485-1922",
            "fax_number": "303-485-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 COLORADO BLVD STE 700",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805046816",
            "telephone_number": "303-485-1922",
            "fax_number": "303-485-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESTONE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "720-317-4995",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "6662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firestone Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Firestone, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.