De la Vara Chiropractic & Sports Medicine Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36136 Issued in CO

Legal business name

DE LA VARA CHIROPRACTIC & SPORTS MEDICINE CLINIC, INC.

Practice address

1880 S Pierce St
Suite 14
Lakewood, CO 80232-7191

Phone

(303) 763-8433

Fax

(303) 936-0705

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Lynn De la Vara, DCNPI 1205944295

Title

Doctor of Chiropractic and Certifie

Phone

(303) 763-8433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Lynn De la Vara, DC

  • Chiropractor
  • Lakewood, CO
  • NPI 1205944295
  NPD (past) Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1891827648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S PIERCE ST",
            "address_2": "SUITE 14",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327191",
            "telephone_number": "303-763-8433",
            "fax_number": "303-936-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S PIERCE ST",
            "address_2": "SUITE 14",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327191",
            "telephone_number": "303-763-8433",
            "fax_number": "303-936-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA VARA CHIROPRACTIC & SPORTS MEDICINE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "DE LA VARA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC AND CERTIFIE",
        "authorized_official_telephone_number": "303-763-8433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "36136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F Day, M.D.
• Ryan Erik Day, D.C.
• Taylor Day, LSW
• Graciela De la Cruz
• Brenda Itzel De la Torre
• Gloria Lynn De la Vara, DC
• Juan Ignacio De la Vara, DC
• Jean-Marie De Leon
• Jose De Leon, M. D.
• Jodi J. De Luca, PH.D.

• Chiropractor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.