Organization Active NPI

Kingdom Family Chiropractic Inc.

  • Chiropractor
  • Wheat Ridge, CO
National Provider Identifier
1881965994
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6560 Issued in CO
Legal business name
KINGDOM FAMILY CHIROPRACTIC INC.
Practice address
10160 W 50TH Ave
Suite 4
Wheat Ridge, CO 80033-2339
Phone
(720) 542-3260
Fax
(720) 328-5264
NPI assigned
Jan 20, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Brean Michelle Symmonds, D.C.NPI 1144271701
Title
Owner
Phone
(303) 717-6201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6560 CO Primary

Addresses

Primary practice location

10160 W 50TH Ave
Suite 4
Wheat Ridge, CO 80033-2339

Mailing address

10160 W 50TH Ave
Suite 4
Wheat Ridge, CO 80033-2339
Phone (720) 542-3260

National Provider Directory

National Provider Directory

Locations

10160 W 50th Ave
Unit 4
Wheat Ridge, CO 80033
Phone (303) 456-4882

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1881965994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 W 50TH AVE",
            "address_2": "SUITE 4",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332339",
            "telephone_number": "720-542-3260",
            "fax_number": "720-328-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 W 50TH AVE",
            "address_2": "SUITE 4",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332339",
            "telephone_number": "720-542-3260",
            "fax_number": "720-328-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "SYMMONDS",
        "authorized_official_first_name": "BREAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-717-6201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.