Active NPI
Ryan David Groelz, D.C.
- Chiropractor
- Broomfield, CO
National Provider Identifier
1912124397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5525
- Practice address
- 413 Summit Blvd Unit 101
Broomfield, CO 80021-8295 - Phone
- (303) 499-6565
- Fax
- (303) 499-8585
- NPI assigned
- Apr 19, 2007
- 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 | 5525 | CO | Primary |
Addresses
Primary practice location
413 Summit Blvd Unit 101
Broomfield, CO 80021-8295
Mailing address
413 Summit Blvd Unit 101
Broomfield, CO 80021-8295
Phone (303) 499-6565
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 |
|---|---|---|---|
| 5525 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Medical Supply | Current | Accepting new patients |
Locations
413 Summit Blvd
Unit 101
Broomfield, CO 80021
Phone (303) 499-6565
Interoperability endpoints
- ryan.groelz.2@29676.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Broomfield, CO
- NPI 1568086569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1912124397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 SUMMIT BLVD UNIT 101",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218295",
"telephone_number": "303-499-6565",
"fax_number": "303-499-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 SUMMIT BLVD UNIT 101",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218295",
"telephone_number": "303-499-6565",
"fax_number": "303-499-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROELZ",
"first_name": "RYAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.