Active NPI
John L Colmenero, DC
- Chiropractor
- Tucson, AZ
National Provider Identifier
1902444938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8852
- Practice address
- 800 E University Blvd Ste 100
Tucson, AZ 85719-5058 - Phone
- (520) 622-3886
- Fax
- (520) 622-3847
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8852 | AZ | Primary |
Addresses
Primary practice location
800 E University Blvd Ste 100
Tucson, AZ 85719-5058
Mailing address
800 E University Blvd Ste 100
Tucson, AZ 85719-5058
Phone (520) 622-3886
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8852 | AZ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1902444938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E UNIVERSITY BLVD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195058",
"telephone_number": "520-622-3886",
"fax_number": "520-622-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E UNIVERSITY BLVD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195058",
"telephone_number": "520-622-3886",
"fax_number": "520-622-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLMENERO",
"first_name": "JOHN",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.