JUSTIN LEE SMESTAD (NPI# 1659886778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659886778 |
Entity Type | Individual |
Full Name | JUSTIN LEE SMESTAD |
Credential | DC |
Practice Address |
218 S Sunset St Fort Collins CO 80521-2102 |
Practice Telephone | 9702185634 |
Mailing Telephone | 9702185634 |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHR.0007478 | CO | Chiropractic Providers |
Street Address |
218 S SUNSET ST |
City | FORT COLLINS |
State | CO |
Zip Code | 80521-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
Find all providers in zip 80521 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699239020 | Matthew Basilio | Chiropractor | 1015 S Taft Hill Rd Ste F, Fort Collins, CO 80521-4240 | 2019-01-30 |
1992274732 | Brave Roots Chiropractic | Chiropractor | 2111 S College Ave Ste B, Fort Collins, CO 80525-5404 | 2018-11-22 |
1497221733 | Jo Nell M Shaw | Chiropractor | 451 Boardwalk Dr Apt 513, Fort Collins, CO 80525-3224 | 2018-10-14 |
1013404037 | Joshua Thomas Werner | Chiropractor | 257 E. Boardwalk Dr., Fort Collins, CO 80525-8052 | 2018-04-16 |
1669990966 | Simone Raedeke | Chiropractor | 115 E Harmony Rd Ste 200, Fort Collins, CO 80525-3280 | 2017-09-07 |
1427574664 | Peter Bulcher | Chiropractor | 1825 Sharp Point Dr, Fort Collins, CO 80525-4450 | 2017-08-18 |
1144743758 | Kendra Renee Conner | Chiropractor | 1027 W Horsetooth Rd S, Suite 101, Fort Collins, CO 80526-5982 | 2017-07-25 |
1598299125 | Corinne Deuel-gentile | Chiropractor | 811 E Elizabeth St, Fort Collins, CO 80524-3844 | 2017-04-20 |
1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
1073058806 | Brock Martin | Chiropractor | 3074 Denver Dr, Fort Collins, CO 80525-6600 | 2017-01-03 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80521 |
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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.