Individual provider Active NPI

Deanna Stevenson, DC, ATC/L

  • Chiropractor
  • Highlands Ranch, CO
National Provider Identifier
1891103750
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007959 Issued in CO
Practice address
9249 S Broadway Unit 100
Highlands Ranch, CO 80129
Phone
(303) 470-1020
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT.0001919 CO
Chiropractor 111N00000X CHR.0007959 CO Primary

Addresses

Primary practice location

9249 S Broadway Unit 100
Highlands Ranch, CO 80129

Mailing address

9249 S Broadway Unit 100
Highlands Ranch, CO 80129-5691
Phone (303) 470-1020

Other practice location 1

297 N US Highway 287 Ste 105
Lafayette, CO 80026-8953
Phone (479) 841-9947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007959COMDChiropractor
AT.0001919COMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Highlands Ranch West LLC. PastSince Jan 2, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1891103750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 S BROADWAY UNIT 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295691",
            "telephone_number": "303-470-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 S BROADWAY UNIT 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-470-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 N US Highway 287 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800268953",
            "country_code": "US",
            "telephone_number": "479-841-9947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "DEANNA",
        "credential": "DC, ATC/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001919",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.