Active NPI
Daniel A Lonquist, DC
- Chiropractor
- Grand Junction, CO
National Provider Identifier
1811972508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4322
- Practice address
- 533 Bogart LN
Unit F
Grand Junction, CO 81505-7149 - Phone
- (970) 257-9199
- Fax
- (888) 552-0135
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 4322 | CO | Primary |
Addresses
Primary practice location
533 Bogart LN
Unit F
Grand Junction, CO 81505-7149
Mailing address
533 Bogart LN
Unit F
Grand Junction, CO 81505-7149
Phone (970) 257-9199
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 |
|---|---|---|---|
| 4322 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Wellness Center, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Grand Junction, CO
- NPI 1356531404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1811972508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 BOGART LN",
"address_2": "UNIT F",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815057149",
"telephone_number": "970-257-9199",
"fax_number": "888-552-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 BOGART LN",
"address_2": "UNIT F",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815057149",
"telephone_number": "970-257-9199",
"fax_number": "888-552-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONQUIST",
"first_name": "DANIEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.