NPIMap

Organization Active NPI

Boulder Back Pain Clinic LLC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1821213828
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2217 Issued in CO
Legal business name
BOULDER BACK PAIN CLINIC LLC
Practice address
2760 29TH St
Suite 2 B
Boulder, CO 80301-1214
Phone
(303) 499-4500
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Marc Steven Cahn, D.C.
Title
Owner
Phone
(303) 499-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2217 CO Primary

Addresses

Primary practice location

2760 29TH St
Suite 2 B
Boulder, CO 80301-1214

Mailing address

2760 29TH St
Suite 2 B
Boulder, CO 80301-1214

National Provider Directory

National Provider Directory

Locations

2760 29th St
Ste 2B
Boulder, CO 80301
Phone (303) 444-5105

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1821213828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 29TH ST",
            "address_2": "SUITE 2 B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 29TH ST",
            "address_2": "SUITE 2 B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011214",
            "telephone_number": "303-499-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER BACK PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "CAHN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-499-4500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.