Active NPI
Rada Chiropractic SC
Doing business as Boulder Sports Chiropractic SC
- Chiropractor
- Boulder, CO
National Provider Identifier
1871962225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7287
- Legal business name
- RADA CHIROPRACTIC SC
- Doing business as
- Boulder Sports Chiropractic SC
- Practice address
- 2760 29TH Street
Suite 2B
Boulder, CO 80301 - Phone
- (303) 444-5105
- Fax
- (303) 494-4982
- NPI assigned
- Sep 16, 2015
- Last updated
- Sep 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer L Rada, DC
- Title
- Chiropractor
- Phone
- (303) 444-5105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7287 | CO | Primary |
Addresses
Primary practice location
2760 29TH Street
Suite 2B
Boulder, CO 80301
Mailing address
2760 29TH Street
Suite 2B
Boulder, CO 80301
Phone (303) 444-5105
Other names 1
- Boulder Sports Chiropractic SC
National Provider Directory
National Provider Directory- Tax ID family
- Boulder Sports Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Boulder, CO
- NPI 1902274376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442361600000",
"number": "1871962225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 29TH STREET",
"address_2": "SUITE 2B",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-444-5105",
"fax_number": "303-494-4982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 29TH STREET",
"address_2": "SUITE 2B",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-444-5105",
"fax_number": "303-494-4982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADA CHIROPRACTIC SC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A",
"authorized_official_last_name": "RADA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "303-444-5105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "7287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boulder Sports Chiropractic SC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boulder, CO
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- Kristine Nichole Rabin, P.T.
- Rachel Katz PT LLC
- Rachel M Wynn LLC
- Natalie Rose Raden, AUD
- Radiance Smile Solutions, PLLC (Radiance Artistic Dentistry & Wellness)
- Radiant Health LLC
- Radiant Life Counseling LLC
- Thomas Brandt Radnoti
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.