Individual provider Active NPI

Jason Andrew McTavish

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1801954151
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4531 Issued in CO
Practice address
9567 S University Blvd
Unit D-2
Littleton, CO 80126-7897
Phone
(303) 683-9494
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 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 4531 CO Primary

Addresses

Primary practice location

9567 S University Blvd
Unit D-2
Littleton, CO 80126-7897

Mailing address

9567 S University Blvd
Unit D-2
Littleton, CO 80126-7897
Phone (303) 683-9494

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
4531COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1801954151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9567 S UNIVERSITY BLVD",
            "address_2": "UNIT D-2",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801267897",
            "telephone_number": "303-683-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9567 S UNIVERSITY BLVD",
            "address_2": "UNIT D-2",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801267897",
            "telephone_number": "303-683-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTAVISH",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.