Active NPI
John Wayne Brimhall, DC
- Nutrition Chiropractor
- Parker, CO
National Provider Identifier
1740626209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2098
- Practice address
- 10281 Rancho Montecito Dr
Parker, CO 80138 - Phone
- (602) 538-0976
- Fax
- (720) 851-5319
- NPI assigned
- May 10, 2013
- Last updated
- May 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2098 | CO | Primary |
Addresses
Primary practice location
10281 Rancho Montecito Dr
Parker, CO 80138
Mailing address
10281 Rancho Montecito Dr
Parker, CO 80138
Phone (602) 538-0976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2098 | CO | MD | Mental Health Counselor |
| 669 | AZ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrihealth LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1740626209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10281 RANCHO MONTECITO DR",
"city": "PARKER",
"state": "CO",
"postal_code": "80138",
"telephone_number": "602-538-0976",
"fax_number": "720-851-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10281 RANCHO MONTECITO DR",
"city": "PARKER",
"state": "CO",
"postal_code": "80138",
"telephone_number": "602-538-0976",
"fax_number": "720-851-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMHALL",
"first_name": "JOHN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "2098",
"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 May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.