Organization Active NPI

Parker Performance Clinic, LLC

  • Chiropractor
  • Parker, CO
National Provider Identifier
1730546227
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PARKER PERFORMANCE CLINIC, LLC
Practice address
12155 Lioness Way
Unit 103
Parker, CO 80134-5620
Phone
(303) 500-7755
NPI assigned
Jan 28, 2016
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Benjamin Todd Lockie, D.C.
Title
Owner
Phone
(208) 569-9773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

12155 Lioness Way
Unit 103
Parker, CO 80134-5620

Mailing address

19113 Cottonwood Dr
Apt 918
Parker, CO 80138-8665
Phone (208) 569-9773

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1730546227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19113 COTTONWOOD DR",
            "address_2": "APT 918",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388665",
            "telephone_number": "208-569-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 LIONESS WAY",
            "address_2": "UNIT 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345620",
            "telephone_number": "303-500-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER PERFORMANCE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "LOCKIE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-569-9773",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.