Individual provider Active NPI

Jay Alexander Hafner, D.C.

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1801893813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4750 Issued in CO
Practice address
305 S Kipling St
Lakewood, CO 80226-2700
Phone
(303) 989-0255
Fax
(303) 672-8212
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4750 CO Primary

Addresses

Primary practice location

305 S Kipling St
Lakewood, CO 80226-2700

Mailing address

305 S Kipling St
Lakewood, CO 80226-2700
Phone (303) 989-0255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000574 CO Practitioner - Chiropractic 2264455690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 S Kipling St
Suite C 2
Lakewood, CO 80226-2700
Phone (303) 989-0255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4750COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sagebrush Chiropractic LLC Chiropractor CurrentSince May 1, 2005 Accepting new patients

Locations

305 S Kipling St
#C2
Lakewood, CO 80226
Phone (303) 421-8792

305 S Kipling St
Ste C2
Lakewood, CO 80226
Phone (303) 989-0255

Organizations & group practices 1

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801893813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262700",
            "telephone_number": "303-989-0255",
            "fax_number": "303-672-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262700",
            "telephone_number": "303-989-0255",
            "fax_number": "303-672-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "JAY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.