Breitlow Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011566 Issued in IL

Legal business name

BREITLOW CHIROPRACTIC LLC

Doing business as

New Leaf Chiropractic & Family Wellness

Practice address

600 S Airport Rd
Suite C Building C
Longmont, CO 80503-6424

Phone

(804) 366-5461

NPI assigned

Jun 30, 2010

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jay D Breitlow, D.C.NPI 1750619771

Title

Chiropractic Physician/Owner

Phone

(804) 366-5461

Specialties & licenses 1

Addresses

Other names 1

• New Leaf Chiropractic & Family Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Dale Breitlow, D.C.

  • Chiropractor
  • Longmont, CO
  • NPI 1750619771
  Authorized official Same address or phone

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1861703209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD",
            "address_2": "SUITE C BUILDING C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036424",
            "telephone_number": "804-366-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD",
            "address_2": "SUITE C BUILDING C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036424",
            "telephone_number": "804-366-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREITLOW CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "BREITLOW",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "804-366-5461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Chiropractic & Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Braun, DPT
• Janet Pearl Brautigam, PTA
• Kimberly Anne Brayman
• Laura Brecht
• Michael Bregenzer, NURSE PRACTITIONER
• Jay Dale Breitlow, D.C.
• Helen Brekke, NP
• Moriah Brenneman, OTR/L
• Matthew S Brett, MD
• Kaybree J Breuer

• Chiropractor in Longmont, CO
• Providers in Longmont, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.