Wesley Cavanaugh DC, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

6428 Issued in CO

Legal business name

WESLEY CAVANAUGH DC, LLC

Doing business as

Foundation Wellness Center

Practice address

317 W South Boulder Rd
Suite 2
Louisville, CO 80027-1289

Phone

(303) 604-6040

Fax

(303) 313-0994

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Michael Cavanaugh, D.C.

Title

Owner/Member

Phone

(303) 604-6040

Specialties & licenses 1

Addresses

Other names 1

• Foundation Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1811205073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W SOUTH BOULDER RD",
            "address_2": "SUITE 2",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271289",
            "telephone_number": "303-604-6040",
            "fax_number": "303-313-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W SOUTH BOULDER RD",
            "address_2": "SUITE 2",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271289",
            "telephone_number": "303-604-6040",
            "fax_number": "303-313-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY CAVANAUGH DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "303-604-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "6428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carissa Marie Wengrovius, P.T., D.P.T.
• Carolyn Jo Wepman, MD
• Robert Joseph Werbos, OTR
• Bryan G Wernick, M.D.
• David Andrew Wertz, D.D.S.
• Wesley Tate MD PC
• Aimee West, MA, LPCC
• Jon Charles West, PT
• Whalen Chiropractic and Rehabilitation LLC
• Joel David Whalen, D.C.

• Clinic/Center in Louisville, CO
• Providers in Louisville, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.