Individual provider Active NPI

Jeffrey L Selano, DC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1780708461
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.00007356 Issued in CO
Practice address
6726 S Revere Pkwy Ste 180
Centennial, CO 80112-3962
Phone
(720) 681-6170
Fax
(720) 928-5516
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005181 GA
Chiropractor 111N00000X CHR.00007356 CO Primary

Addresses

Primary practice location

6726 S Revere Pkwy Ste 180
Centennial, CO 80112-3962

Mailing address

6726 S Revere Pkwy Ste 180
Centennial, CO 80112-3962
Phone (720) 681-6170

Other identifiers 2

IdentifierTypeStateIssuer
9000201584MedicaidCO
443072OtherGABCBS PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928000230 CO Practitioner - Chiropractic 6204888035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Pain CenterGroup PAC ID 1052469152, 61 clinicians

Practice addresses (Care Compare)

5920 S Estes St
Suite 220
Littleton, CO 80123-8619
Phone (303) 948-0734

6240 S Main St
Suite 230
Aurora, CO 80016-5377
Phone (303) 627-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.00007356COMDChiropractor
CHIR005181GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Selano Chiropractic Center Inc Chiropractor CurrentSince May 22, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeff.selano.1@21787.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1780708461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 S REVERE PKWY STE 180",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123962",
            "telephone_number": "720-681-6170",
            "fax_number": "720-928-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 S REVERE PKWY STE 180",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123962",
            "telephone_number": "720-681-6170",
            "fax_number": "720-928-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELANO",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-03-04",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005181",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.00007356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000201584",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "443072",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.