Amplified Performance LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6847 Issued in CO

Legal business name

AMPLIFIED PERFORMANCE LLC

Practice address

1262 Bergen Pkwy
E14
Evergreen, CO 80439-9546

Phone

(303) 670-8902

Fax

(303) 670-3580

NPI assigned

Jan 31, 2013

Organization subpart

No

Name

Dr. Daniel Robert Smith, D.C.

Title

Chiropractor/Owner

Phone

(303) 670-8902

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

• Maya Marie Gonzales, D.C.

  • Chiropractor
  • Evergreen, CO
  • NPI 1225255219
  NPD (past)
• Borden R Smith, DC

  • Chiropractor
  • Lakewood, CO
  • NPI 1134168966
  NPD (past)

Locations

• Evergreen Spine and Sports Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2013.

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1932448628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BERGEN PKWY",
            "address_2": "E14",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399546",
            "telephone_number": "303-670-8902",
            "fax_number": "303-670-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BERGEN PKWY",
            "address_2": "E14",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399546",
            "telephone_number": "303-670-8902",
            "fax_number": "303-670-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFIED PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "303-670-8902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Spine and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• All Kids Dental of Evergreen PLLC
• All Kids Dental, P.C.
• Alia Alsaif
• Jennifer Jean Alvarado, LPC
• Mary Patricia Amedeo
• Dana Amundson, PT
• Cheryl C. Anderson, M.S., CCC-SLP
• Dawn Andres
• Kelly Unwin Andrews, MA, LPCC
• Animal-Assisted Therapy of the Mountain Communities

• All providers in Evergreen, CO
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.