CHRIS BANTOCK DC, LLC (NPI# 1396172961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396172961 |
Entity Type | Organization |
Organization Name | CHRIS BANTOCK DC, LLC |
Other Organization Name | INTEGRATIVE MEDICINE OF CHERRY CREEK |
Practice Address |
4500 Cherry Creek Drive South Suite 103 Glendale CO 80246 |
Mailing Address |
4500 Cherry Creek Drive South Suite 103 Glendale CO 80246 |
Practice Telephone | 3035188117 |
Mailing Telephone | 3035188117 |
Enumeration Date | 2013-09-27 |
Last Update Date | 2013-09-27 |
Authorized Official Name | DR. CHRISTOPHER FLOYD BANTOCK (CHIROPRACTOR) |
Authorized Official Telephone | 3035188117 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | CHR.0006985 | CO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Integrative Medicine of Cherry Creek | Doing Business As Name - Organization |
Street Address |
4500 CHERRY CREEK DRIVE SOUTH SUITE 103 |
City | GLENDALE |
State | CO |
Zip Code | 80246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760880801 | Nancy Jo Harrison | Registered Nurse | 4500 Cherry Creek Drive South, Suite 940, Glendale, CO 80246 | 2014-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
Find all providers in zip 80246 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1427618750 | Chiron Trine | Clinic/Center | 1915 Broadview Dr, Glendale, CA 91208-1201 | 2019-06-18 |
1487131603 | Joseph Mazzei Integrative Medicine Pllc | Clinic/Center | 18185 N 83rd Ave Ste 209, Glendale, AZ 85308-0519 | 2018-07-20 |
1528557352 | Central Medical Business Management | Clinic/Center | 1141 N Brand Blvd Ste 404, Glendale, CA 91202-2973 | 2018-05-07 |
1912432873 | Pro Sleep Testing | Clinic/Center | 16222 N 59th Ave Ste D170, Glendale, AZ 85306-1708 | 2017-04-27 |
1649638263 | Wellness Works | Clinic/Center | 540 W. Broadway, Glendale, CA 91204-1120 | 2016-02-10 |
1104214113 | Kasra Navabi Md | Clinic/Center | 3217 N Verdugo Rd, #2, Glendale, CA 91208-1672 | 2014-12-26 |
1932490422 | John F Madden Md PC | Clinic/Center | 10040 N 43rd Ave, 2b, Glendale, AZ 85302-2770 | 2011-05-02 |
1124291091 | South Coast Medical & Therapy, Inc. | Clinic/Center | 138 N Brand Blvd Ste 200, Glendale, CA 91203-4617 | 2008-04-10 |
1467653451 | Boghossian & Martikian Chiropractic Inc | Clinic/Center | 435 Arden Ave Ste 120, Glendale, CA 91203-4028 | 2007-05-29 |
Find all providers in GLENDALE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.