Organization Active NPI

Wolfe Chiropractic and Functional Medicine, Inc.

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1992190474
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0005029 Issued in CO
Legal business name
WOLFE CHIROPRACTIC AND FUNCTIONAL MEDICINE, INC.
Practice address
933 Alpine Ave.
Boulder, CO 80304
Phone
(303) 447-2225
Fax
(303) 447-2226
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Ginger Wolfe, D.C.
Title
Owner/President
Phone
(303) 447-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0005029 CO
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CHR0005029 CO Primary

Addresses

Primary practice location

933 Alpine Ave.
Boulder, CO 80304

Mailing address

933 Alpine Ave.
Boulder, CO 80304
Phone (303) 447-2225

Other identifiers 2

IdentifierTypeStateIssuer
1215153481OtherMDGROUP NPI
1669553756OtherMDINDIVIDUAL NPI

Other names 1

  • In8 Chiropracic Incorporated Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1992190474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 ALPINE AVE.",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80304",
            "telephone_number": "303-447-2225",
            "fax_number": "303-447-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 ALPINE AVE.",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80304",
            "telephone_number": "303-447-2225",
            "fax_number": "303-447-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE CHIROPRACTIC AND FUNCTIONAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-447-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0005029",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0005029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1215153481",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669553756",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In8 Chiropracic Incorporated",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.