James Russell Fraser III, D.C
Individual provider Active NPI Chiropractor · Basalt, CO
NPI 1780057778 · NPPES record last updated Dec 18, 2025
Key facts
- NPI
- 1780057778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHR.0008508 (CO)
- Practice address
- 341 Market St
Basalt, CO 81621-7409 - Phone
- (970) 924-1015
- NPI assigned
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0008508 | CO | MD | Chiropractor |
| CH11712 | FL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11712 | FL | |
| Chiropractor | 111N00000X | CHR.0008508 | CO | Yes |
Addresses
Primary practice location
341 Market St
Basalt, CO 81621-7409
Mailing address
67 Widget St Unit 714
Basalt, CO 81621-6705
Phone (970) 924-1015
Other providers in Basalt, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.