Active NPI
Jennifer Linn Rada, D.C.
- Chiropractor
- Lakewood, CO
National Provider Identifier
1942226048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7287
- Practice address
- 13131 W Alameda Pkwy Ste 200
Lakewood, CO 80228-3108 - Phone
- (720) 597-0143
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3703-012 | WI | |
| Chiropractor | 111N00000X | 007287 | CO | |
| Chiropractor | 111N00000X | 0007287 | CO | |
| Chiropractor | 111N00000X | 7287 | CO | Primary |
Addresses
Primary practice location
13131 W Alameda Pkwy Ste 200
Lakewood, CO 80228-3108
Mailing address
13131 W Alameda Pkwy Ste 200
Lakewood, CO 80228-3108
Phone (720) 597-3818
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U82031 | Medicaid | CO | |
| 0007287 | Other | CO | COLORADO |
| 38927900 | Medicaid | WI |
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 |
|---|---|---|---|
| 0007287 | CO | MD | Chiropractor |
| 007287 | CO | MD | Chiropractor |
| 3703-012 | WI | MD | Chiropractor |
| 7287 | CO | MD | Dentist |
| 3703 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Clinic SC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Manitowoc, WI
- NPI 1275566606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1942226048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13131 W ALAMEDA PKWY STE 200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802283108",
"telephone_number": "720-597-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13131 W ALAMEDA PKWY STE 200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802283108",
"telephone_number": "720-597-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADA",
"first_name": "JENNIFER",
"middle_name": "LINN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3703-012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "007287",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "0007287",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "7287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "U82031",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO",
"identifier": "0007287",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38927900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.