Organization Active NPI

Mid Valley Chiropractic Co Valley Wellness

  • Chiropractor
  • Glenwood Springs, CO
National Provider Identifier
1750551602
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MID VALLEY CHIROPRACTIC CO VALLEY WELLNESS
Practice address
1517 Blake Ave
Suite 203
Glenwood Springs, CO 81601-3643
Phone
(970) 384-4450
Fax
(970) 947-9916
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. David Scott Jensen, D.C.
Title
Owner
Phone
(970) 384-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1517 Blake Ave
Suite 203
Glenwood Springs, CO 81601-3643

Mailing address

1517 Blake Ave
Suite 203
Glenwood Springs, CO 81601-3643
Phone (970) 384-4450

Other identifiers 1

IdentifierTypeStateIssuer
MI650809OtherCOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1517 Blake Ave
Ste 203
Glenwood Springs, CO 81601
Phone (970) 384-4450

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1750551602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 BLAKE AVE",
            "address_2": "SUITE 203",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013643",
            "telephone_number": "970-384-4450",
            "fax_number": "970-947-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 BLAKE AVE",
            "address_2": "SUITE 203",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013643",
            "telephone_number": "970-384-4450",
            "fax_number": "970-947-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY CHIROPRACTIC CO VALLEY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-384-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MI650809",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.