Spine Center of Colorado LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5270 Issued in CO

Legal business name

SPINE CENTER OF COLORADO LLC

Practice address

1248 N Main St
Longmont, CO 80501-3824

Phone

(303) 678-9045

Fax

(303) 678-9046

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clint Steven Lanzen, D.C.

Title

Chiropractor

Phone

(303) 678-9045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1871786525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 N MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013824",
            "telephone_number": "303-678-9045",
            "fax_number": "303-678-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 N MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013824",
            "telephone_number": "303-678-9045",
            "fax_number": "303-678-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "LANZEN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "303-678-9045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 24, 2007; 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.