NPIMap

Organization Active NPI

Pranatonic

  • Chiropractor
  • Golden, CO
National Provider Identifier
1972911261
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
534 Issued in CO
Legal business name
PRANATONIC
Practice address
807 14TH St
Golden, CO 80401-1866
Phone
(303) 274-5733
Fax
(303) 954-9561
NPI assigned
Jul 30, 2014
Last updated
Jul 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Kimball Cicciu
Title
Owner
Phone
(720) 231-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 534 CO Primary

Addresses

Primary practice location

807 14TH St
Golden, CO 80401-1866

Mailing address

807 14TH St
Golden, CO 80401-1866
Phone (303) 274-5733

National Provider Directory

National Provider Directory

Locations

807 14th St
Golden, CO 80401
Phone (303) 274-5733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1972911261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 14TH ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011866",
            "telephone_number": "303-274-5733",
            "fax_number": "303-954-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 14TH ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011866",
            "telephone_number": "303-274-5733",
            "fax_number": "303-954-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANATONIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "CICCIU",
        "authorized_official_first_name": "KIMBALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-231-9110"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.