Organization Active NPI

Ceo South Denver Inc

  • Chiropractor
  • Glendale, CO
National Provider Identifier
1932269420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CEO SOUTH DENVER INC
Doing business as
Lifetime Health & Wellness
Practice address
4100 E Mississippi Avenue
Suite 310
Glendale, CO 80246
Phone
(303) 759-5575
Fax
(720) 596-5171
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James J Hoven Jr., DC
Title
President
Phone
(303) 759-5575

Specialties & licenses 1

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

Addresses

Primary practice location

4100 E Mississippi Avenue
Suite 310
Glendale, CO 80246

Mailing address

4100 E Mississippi Avenue
Suite 310
Glendale, CO 80246
Phone (303) 759-5575

Other names 1

  • Lifetime Health & Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932269420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVENUE",
            "address_2": "SUITE 310",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-759-5575",
            "fax_number": "720-596-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVENUE",
            "address_2": "SUITE 310",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-759-5575",
            "fax_number": "720-596-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEO SOUTH DENVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOVEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-759-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.