Wakita Chiropractic Office, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2616 Issued in CO

Legal business name

WAKITA CHIROPRACTIC OFFICE, P.C.

Practice address

220 W Prospect Rd
Suite D
Fort Collins, CO 80526-2094

Phone

(970) 224-4852

Fax

(970) 224-0928

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Liz Wakita

Title

Vice President/Office Manager

Phone

(970) 224-2263

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.

• Mathew David Ullom, D.C.

  • Rehabilitation Chiropractor
  • Fort Collins, CO
  • NPI 1093975203
  NPD

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1902177397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W PROSPECT RD",
            "address_2": "SUITE D",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262094",
            "telephone_number": "970-224-4852",
            "fax_number": "970-224-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W PROSPECT RD",
            "address_2": "SUITE D",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262094",
            "telephone_number": "970-224-4852",
            "fax_number": "970-224-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKITA CHIROPRACTIC OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "WAKITA",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "VICE PRESIDENT/OFFICE MANAGER",
        "authorized_official_telephone_number": "970-224-2263"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Wagnon
• Suzanne Elizabeth Wagster, MA, LPC
• Santina April Wahl
• Diana Wahlberg
• Sarah Jean Waible, M.S., OTR
• Morihiko Wakita, D.C.
• Barbara Ann Walden, M.S.P.T.
• Alyssa Waldmer, LAC, MFT
• Monica Marie Waldorf, OTR/L
• Hannah Mae Walek, MS, LAT, ATC

• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.