Individual provider Active NPI

Jennifer Linn Rada, D.C.

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1942226048
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7287 Issued in CO
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

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U82031MedicaidCO
0007287OtherCOCOLORADO
38927900MedicaidWI

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

LicenseStateTypeSpecialty
0007287COMDChiropractor
007287COMDChiropractor
3703-012WIMDChiropractor
7287COMDDentist
3703WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Clinic SC Chiropractor PastSince Jul 8, 2013 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.

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.

Verify at the official NPI Registry.