Organization Active NPI

Wellue Clinic

  • Clinic/Center
  • Golden, CO
National Provider Identifier
1710412002
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELLUE CLINIC
Practice address
400 Indiana St
Suite 320
Golden, CO 80401-5027
Phone
(720) 893-0860
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Garret Rock, D.C.
Title
Director of Clinical Operations
Phone
(303) 842-0367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

400 Indiana St
Suite 320
Golden, CO 80401-5027

Mailing address

400 Indiana St
Suite 320
Golden, CO 80401-5027
Phone (720) 893-0860

National Provider Directory

National Provider Directory

Locations

400 Indiana St
Ste 320
Golden, CO 80401
Phone (303) 469-3182

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1710412002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "720-893-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "720-893-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLUE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "GARRET",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "303-842-0367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.