Active NPI
Mid Valley Chiropractic Co Valley Wellness
- Chiropractor
- Glenwood Springs, CO
National Provider Identifier
1750551602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI650809 | Other | CO | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.