Entavida LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ENTAVIDA LLC

Practice address

6000 E Evans Ave Ste 1-341
Denver, CO 80222-5428

Phone

(303) 951-4323

Fax

(877) 926-0262

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Abbie Knoper

Title

Director of Billing

Phone

(720) 940-8531

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1972857183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 E EVANS AVE STE 1-341",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225428",
            "telephone_number": "303-951-4323",
            "fax_number": "877-926-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 E EVANS AVE STE 1-341",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225428",
            "telephone_number": "303-951-4323",
            "fax_number": "877-926-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTAVIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "KNOPER",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "720-940-8531"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.