Active NPI
Niels Jonathan Pedersen, D.C.
- Chiropractor
- Denver, CO
National Provider Identifier
1841518347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6453
- Practice address
- 7555 E Hampden Ave
Suite 420
Denver, CO 80231-4830 - Phone
- (303) 353-9774
- NPI assigned
- May 7, 2010
- Last updated
- Oct 28, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 6453 | CO | Primary |
Addresses
Primary practice location
7555 E Hampden Ave
Suite 420
Denver, CO 80231-4830
Mailing address
7555 E Hampden Ave
Suite 420
Denver, CO 80231-4830
Phone (303) 353-9774
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 |
|---|---|---|---|
| 6453 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Center of Seattle LLC | Chiropractor | Current | Accepting new patients |
| Denver Spine LLC | Chiropractor | Past | Accepting new patients |
| Integrated Health Center of the Rockies LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Functional Health Center of Bellevue
- Chiropractor
- Bellevue, WA
- NPI 1386006799
-
- Chiropractor
- Denver, CO
- NPI 1174841464
-
- Chiropractor
- Denver, CO
- NPI 1407284920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1841518347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7555 E HAMPDEN AVE",
"address_2": "SUITE 420",
"city": "DENVER",
"state": "CO",
"postal_code": "802314830",
"telephone_number": "303-353-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 E HAMPDEN AVE",
"address_2": "SUITE 420",
"city": "DENVER",
"state": "CO",
"postal_code": "802314830",
"telephone_number": "303-353-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "NIELS",
"middle_name": "JONATHAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
- Sanford Dennis Peck, MD
- Anangamanjari Pedapudi, MD
- Chitra Chauhan Peddada, M.D.
- Taylor Michael Pedego, DDS
- Katherine Pedersen, FNP
- Adrienne L Pederson, LCSW
- Pediatric and Adolescent Center
- Pediatric Anesthesia Consultants, PC
- Pediatric Anesthesiologists of Colorado, PLLC
- Pediatric Effective Elimination Program Clinic & Consulting, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.