Active NPI
Phillip Wygonski, D.C.
- Chiropractor
- Northglenn, CO
National Provider Identifier
1790021756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6806
- Practice address
- 11184 Huron St
Suite 10
Northglenn, CO 80234-2300 - Phone
- (303) 425-9557
- NPI assigned
- Dec 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6806 | CO | Primary |
Addresses
Primary practice location
11184 Huron St
Suite 10
Northglenn, CO 80234-2300
Mailing address
11184 Huron St
Suite 10
Northglenn, CO 80234-2300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6806 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1790021756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11184 HURON ST",
"address_2": "SUITE 10",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802342300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11184 HURON ST",
"address_2": "SUITE 10",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802342300",
"telephone_number": "303-425-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYGONSKI",
"first_name": "PHILLIP",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.