Organization Active NPI

Redlands Chiropractic & Wellness Center LLC

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1902284763
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6170 Issued in CO
Legal business name
REDLANDS CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
2148 Broadway Ste C3
Grand Junction, CO 81507-1098
Phone
(970) 243-5164
Fax
(970) 243-0945
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Ronald Engler, D.C.NPI 1255513081
Title
President/Owner
Phone
(970) 243-5164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6170 CO Primary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 6170 CO

Addresses

Primary practice location

2148 Broadway Ste C3
Grand Junction, CO 81507-1098

Mailing address

2148 Broadway Ste C3
Grand Junction, CO 81507-1098
Phone (970) 243-5164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623001135 CO Part B Supplier - Clinic/Group Practice 6901117522 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

2148 Broadway
Ste C3
Grand Junction, CO 81507
Phone (970) 243-5164

2764 Compass Dr
Ste 103
Grand Junction, CO 81506
Phone (970) 243-5164

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1902284763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 BROADWAY STE C3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071098",
            "telephone_number": "970-243-5164",
            "fax_number": "970-243-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 BROADWAY STE C3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071098",
            "telephone_number": "970-243-5164",
            "fax_number": "970-243-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "ENGLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "970-243-5164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6170",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "6170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.