NPIMap

Organization Active NPI

Mountain Shadows Chiropractic & Rehabilitation, Inc

  • Chiropractor
  • Glenwood Springs, CO
National Provider Identifier
1891001087
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6105 Issued in CO
Legal business name
MOUNTAIN SHADOWS CHIROPRACTIC & REHABILITATION, INC
Practice address
120 Midland Ave
#230
Glenwood Springs, CO 81601
Phone
(970) 384-2240
NPI assigned
Aug 25, 2010
Last updated
Aug 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Dr. Errik Enewold, DC
Title
Owner/Chiropractor
Phone
(970) 384-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6105 CO Primary

Addresses

Primary practice location

120 Midland Ave
#230
Glenwood Springs, CO 81601

Mailing address

120 Midland Ave
#230
Glenwood Springs, CO 81601

National Provider Directory

National Provider Directory

Locations

118 W 6th St
Ste 20
Glenwood Springs, CO 81601
Phone (970) 945-5964

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1891001087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MIDLAND AVE",
            "address_2": "#230",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MIDLAND AVE",
            "address_2": "#230",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "970-384-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SHADOWS CHIROPRACTIC & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "ENEWOLD",
        "authorized_official_first_name": "ERRIK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "970-384-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.