NPIMap

Organization Active NPI

Jackson Fisk Integrative Health Care

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1982937926
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6241 Issued in CO
Legal business name
JACKSON FISK INTEGRATIVE HEALTH CARE
Practice address
3944 JFK Pkwy
Suite 12 B
Fort Collins, CO 80525-3088
Phone
(970) 377-2399
Fax
(970) 797-1729
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Peter Fisk, D.C.NPI 1962739227
Title
Partner/Secretary
Phone
(970) 377-2399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6241 CO Primary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 6236 CO

Addresses

Primary practice location

3944 JFK Pkwy
Suite 12 B
Fort Collins, CO 80525-3088

Mailing address

3944 JFK Parkway
Suite 12 B
Fort Collins, CO 80525
Phone (970) 377-2399

Other names 1

  • Jackson Fisk Body & Soul Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1982937926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 JFK PARKWAY",
            "address_2": "SUITE 12 B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-377-2399",
            "fax_number": "970-797-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 JFK PKWY",
            "address_2": "SUITE 12 B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253088",
            "telephone_number": "970-377-2399",
            "fax_number": "970-797-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FISK INTEGRATIVE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PARTNER/SECRETARY",
        "authorized_official_telephone_number": "970-377-2399",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6241",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "6236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Fisk Body & Soul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.