GENESIS CHIROPRACTIC SPINE CTR (NPI# 1821488842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821488842 |
Entity Type | Organization |
Organization Name | GENESIS CHIROPRACTIC SPINE CTR |
Other Organization Name | GENESIS WELLNESS CLINIC |
Practice Address |
5950 S Willow Dr Suite 200 Greenwood Village CO 80111-5170 |
Practice Telephone | 7205158002 |
Mailing Telephone | 7205158002 |
Enumeration Date | 2015-01-29 |
Last Update Date | 2015-01-29 |
Authorized Official Name | CLYDE JOHNSON (OWNER) |
Authorized Official Telephone | 7205158002 |
Authorized Official Credential | DC- MS REHAB, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
EL.2786103 | CO | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CHR.0006922 | CO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Genesis Wellness Clinic | Doing Business As Name - Organization |
Street Address |
5950 S WILLOW DR SUITE 200 |
City | GREENWOOD VILLAGE |
State | CO |
Zip Code | 80111-5170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912965203 | Lea Yoder | Chiropractor | 5950 S Willow Dr, Suite 205, Greenwood Village, CO 80111-5170 | 2006-05-03 |
1184088932 | Genesis Medical and Rehabilitation Center | Clinic/Center | 5950 S Willow Dr, Suite 200, Greenwood Village, CO 80111-5170 | 2016-04-07 |
1518357144 | Dawnlight Enterprises, Inc. | Massage Therapist | 5950 S Willow Dr, Suite 200, Greenwood Village, CO 80111-5170 | 2015-02-03 |
1790926848 | Lea Thompson Ltd,p.c | Chiropractor | 5950 S Willow Dr, Suite #205, Greenwood Village, CO 80111-5170 | 2009-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
Find all providers in zip 80111 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
1649802935 | Mile High Metabolic LLC | Clinic/Center | 6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111-4739 | 2020-02-05 |
1043759830 | Highlands Pain Management | Clinic/Center | 5950 S Willow Dr Ste 200, Greenwood Village, CO 80111-5144 | 2017-02-14 |
1265662860 | South Denver Primary Care, PC | Clinic/Center | 9620 E Arapahoe Rd, Greenwood Village, CO 80112-3703 | 2009-07-17 |
1710088687 | Allen Jay Schreiber | Clinic/Center | 8200 E Belleview Ave, Suite 326c, Greenwood Village, CO 80111-2803 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578160396 | Little Poudre Family Clinic LLC | Clinic/Center | 3817 W County Rd 54g, Laporte, CO 80535 | 2020-10-05 |
1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
1669028387 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201c, Erie, CO 80516-4072 | 2019-08-19 |
Find all providers with the same taxonomy |
City | GREENWOOD VILLAGE |
Zip Code | 80111 |
Please comment or provide details below to improve the information on GENESIS CHIROPRACTIC SPINE CTR.
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.