Individual provider Active NPI

Robert C Nelson, DC, DACBSP

  • Sports Physician Chiropractor
  • Lakewood, CO
National Provider Identifier
1760580906
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CERTIFICATE #78 Issued in IA
Practice address
84 Garrison St
Unit B
Lakewood, CO 80226-7426
Phone
(303) 205-0501
Fax
(303) 205-0570
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2664 CO
Sports Physician Chiropractor 111NS0005X CERTIFICATE #78 IA Primary

Addresses

Primary practice location

84 Garrison St
Unit B
Lakewood, CO 80226-7426

Mailing address

84 Garrison St
Unit B
Lakewood, CO 80226-7426
Phone (303) 205-0501

Other identifiers 1

IdentifierTypeStateIssuer
M33684OtherCOWORK COMP

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CERTIFICATE #78IAMDSports Physician Chiropractor
2664COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760580906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GARRISON ST",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267426",
            "telephone_number": "303-205-0501",
            "fax_number": "303-205-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GARRISON ST",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267426",
            "telephone_number": "303-205-0501",
            "fax_number": "303-205-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC, DACBSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2664",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "CERTIFICATE #78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "M33684",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.