Firestone Chiropractic LLC
Organization Active NPI Health Maintenance Organization · Firestone, CO
NPI 1710275029 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1710275029
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- 6662 (CO)
- Legal business name
- FIRESTONE CHIROPRACTIC LLC
- Practice address
- 8310 Colorado Blvd Ste 700
Firestone, CO 80504-6816 - Phone
- (303) 485-1922
- Fax
- (303) 485-1924
- NPI assigned
- Jul 20, 2011
- Organization subpart
- No
Authorized official
- Name
- Dean Lester Wright, DC
- Title
- Owner/Chiropractor
- Phone
- (720) 317-4995
Practitioners 3
-
Jacob Burchell, DC
-
David James Goodwin Jr., D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111017000351 | CO | Part B Supplier - Clinic/Group Practice | 1355513391 |
Receives reassigned benefits from 1 practitioner Practice locations: Firestone, CO |
National Provider Directory
Locations
8310 Colorado Blvd
Ste 700
Firestone, CO 80504
Phone (303) 485-1922
8310 Colorado Blvd
Firestone, CO 80504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 6662 | CO | Yes |
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
- Firestone Chiropractic
Other providers in Firestone, CO
- Mary Elizabeth Fabian
- Aaron Philip Fallik
- Skylar Fendrick
- Kaleb Fincher
- Firestone Chiropractic Limited
- Firestone Dental Care, LLC
- Firestone Dental Partners Prof LLC
- Firestone Endodontics
- Firestone Medical Center LLC
- First Assistant Services of Southwest Missouri
All providers in Firestone, CO · Health Maintenance Organization in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.