Individual provider Active NPI

Marsha D Prada, DC

  • Chiropractor
  • Wheat Ridge, CO
National Provider Identifier
1912981580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5934 Issued in CO
Practice address
3490 Youngfield St
Ste B
Wheat Ridge, CO 80033-5284
Phone
(303) 274-4434
Fax
(303) 274-4441
NPI assigned
Dec 6, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2972 OR
Chiropractor 111N00000X 5934 CO Primary

Addresses

Primary practice location

3490 Youngfield St
Ste B
Wheat Ridge, CO 80033-5284

Mailing address

3490 Youngfield St
Ste B
Wheat Ridge, CO 80033-5284
Phone (303) 274-4434

Other names 1

  • Marsha D Dirks Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000085 CO Practitioner - Chiropractic 9335247402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prada Chiropractic IncGroup PAC ID 7810273885, 5 clinicians

Practice addresses (Care Compare)

2242 W 29TH Ave
Denver, CO 80211-3804
Phone (303) 718-3435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5934COMDChiropractor
2972ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prada Chiropractic Inc Chiropractor CurrentSince Feb 15, 2017 Accepting new patients
Denver Stretch Institute Chiropractor Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912981580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 YOUNGFIELD ST",
            "address_2": "STE B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335284",
            "telephone_number": "303-274-4434",
            "fax_number": "303-274-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 YOUNGFIELD ST",
            "address_2": "STE B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335284",
            "telephone_number": "303-274-4434",
            "fax_number": "303-274-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADA",
        "first_name": "MARSHA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2972",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "DIRKS",
            "middle_name": "D",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.