Brave Roots Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRAVE ROOTS CHIROPRACTIC

Practice address

2111 S College Ave Ste B
Fort Collins, CO 80525-5404

Phone

(970) 460-6770

Fax

(866) 701-7104

NPI assigned

Nov 22, 2018

Organization subpart

Yes

Parent organization

POLARIS HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Dr. Steven Vincent Cook, DCNPI 1447487277

Title

Owner

Phone

(970) 460-6770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Steven Vincent Cook, D.C.

  • Chiropractor
  • Fort Collins, CO
  • NPI 1447487277
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1992274732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255404",
            "telephone_number": "970-460-6770",
            "fax_number": "866-701-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255404",
            "telephone_number": "970-460-6770",
            "fax_number": "866-701-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE ROOTS CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POLARIS HEALTH LLC",
        "enumeration_date": "2018-11-22",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-460-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Braun, DDS
• Karen Cameron Braun, MSPA, CCC-SLP
• Ashley Braund, LPC-S
• Paul Patrick Braunlin, PT
• Veoria Braunschweig
• Brave Spaces Health and Wellness PLLC
• Molly Kathryne Brayton, , BS, MASTERS INTERN
• Erin Elizabeth Brazzale, PA-C
• Break Free Recovery LLC
• Break the Mold Therapy

• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.