Individual provider Active NPI

Paul Joseph Geersen, D.C.

  • Sports Physician Chiropractor
  • Highlands Ranch, CO
National Provider Identifier
1972550549
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5043 Issued in CO
Practice address
66 Springer Dr Ste 308
Highlands Ranch, CO 80129-2308
Phone
(303) 471-4800
Fax
(805) 299-4517
NPI assigned
May 28, 2006
Last updated
Jul 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5043 CO Primary

Addresses

Primary practice location

66 Springer Dr Ste 308
Highlands Ranch, CO 80129-2308

Mailing address

66 Springer Dr Ste 308
Highlands Ranch, CO 80129-2308
Phone (303) 471-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000479 CO Practitioner - Chiropractic 5294825550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4619COMDProfessional Counselor
5043COMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Geersen DC Ccep PC Sports Physician CurrentSince Nov 18, 2009 Accepting new patients

Locations

66 Springer Dr
Ste 308
Highlands Ranch, CO 80129
Phone (303) 471-4800

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, 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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1972550549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SPRINGER DR STE 308",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292308",
            "telephone_number": "303-471-4800",
            "fax_number": "805-299-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SPRINGER DR STE 308",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292308",
            "telephone_number": "303-471-4800",
            "fax_number": "805-299-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEERSEN",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "5043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.