Organization Active NPI

Stone-Credeur Family Chiropractic, PC

  • Chiropractor
  • Denver, CO
National Provider Identifier
1982894549
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5389 Issued in CO
Legal business name
STONE-CREDEUR FAMILY CHIROPRACTIC, PC
Practice address
4155 E Jewell Ave
Suite 1018
Denver, CO 80222-4504
Phone
(303) 302-0930
Fax
(303) 302-0933
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Heather Aleece Credeur, D.C.
Title
President
Phone
(303) 302-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5389 CO Primary

Addresses

Primary practice location

4155 E Jewell Ave
Suite 1018
Denver, CO 80222-4504

Mailing address

4155 E Jewell Ave
Suite 1018
Denver, CO 80222-4504
Phone (303) 302-0930

Other names 1

  • AK Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4155 E Jewell Ave
Ste 1018
Denver, CO 80222
Phone (303) 302-0930

4155 E Jewell Ave
Ste 700
Denver, CO 80222
Phone (303) 302-0930

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1982894549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE",
            "address_2": "SUITE 1018",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "303-302-0930",
            "fax_number": "303-302-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE",
            "address_2": "SUITE 1018",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "303-302-0930",
            "fax_number": "303-302-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE-CREDEUR FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "CREDEUR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ALEECE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-302-0930",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AK Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.