NPIMap

Organization Active NPI

Eastridge Chiropractic

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1720263585
Registry record updated Dec 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4531 Issued in CO
Legal business name
EASTRIDGE CHIROPRACTIC
Practice address
9567 S University Blvd
Unit D-2
Littleton, CO 80126-7897
Phone
(303) 683-9494
NPI assigned
Dec 29, 2007
Last updated
Dec 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2007

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

Authorized official

Name
Dr. Jason Andrew McTavish, D.C.NPI 1801954151
Title
Owner
Phone
(303) 683-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4531 CO Primary

Addresses

Primary practice location

9567 S University Blvd
Unit D-2
Littleton, CO 80126-7897

Mailing address

9567 S University Blvd
Unit D-2
Littleton, CO 80126-7897
Phone (303) 683-9494

National Provider Directory

National Provider Directory

Locations

9567 S University Blvd
Unit D2
Highlands Ranch, CO 80126
Phone (303) 683-9494

Practitioners & affiliated clinicians

Practitioners 2

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": "1198886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198886400000",
    "number": "1720263585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9567 S UNIVERSITY BLVD",
            "address_2": "UNIT D-2",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801267897",
            "telephone_number": "303-683-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9567 S UNIVERSITY BLVD",
            "address_2": "UNIT D-2",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801267897",
            "telephone_number": "303-683-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTRIDGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-29",
        "last_updated": "2007-12-29",
        "status": "A",
        "authorized_official_last_name": "MCTAVISH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-683-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.