BOULDER SPORT AND SPINE PLLC (NPI# 1831206770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831206770 |
| Entity Type | Organization |
| Organization Name | BOULDER SPORT AND SPINE PLLC |
| Practice Address |
3400 Table Mesa Dr Ste 201 Boulder CO 80305-5850 |
| Practice Telephone | 3034940944 |
| Practice Fax Number | 3034948678 |
| Mailing Telephone | 3034940944 |
| Mailing Fax Number | 3034948678 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | LARRY ERIC FRIEDER (OWNER) |
| Authorized Official Telephone | 3034940944 |
| Authorized Official Credential | DC, CCSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
3053 | CO | Chiropractic Providers |
| Street Address |
3400 TABLE MESA DR STE 201 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-5850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265824866 | Boulder Acusport LLC | Acupuncturist | 3400 Table Mesa Dr Ste 201, Boulder, CO 80305-5850 | 2015-02-19 |
| 1538558283 | Mary Ellis | Acupuncturist | 3400 Table Mesa Dr Ste 201, Boulder, CO 80305-5850 | 2015-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1548626088 | John Michael Minen | Chiropractor | 2299 Pearl St Ste 105, Boulder, CO 80302-4669 | 2016-01-13 |
| 1427411362 | Elevation Health and Performance Pllc | Chiropractor | 2760 29th St, #2b, Boulder, CO 80301-1214 | 2016-03-29 |
| 1376925909 | Alyx Brown | Chiropractor | 2760 29th St, 2b, Boulder, CO 80301-1214 | 2015-06-19 |
| 1306182407 | Zandi Chiropractic, LLC | Chiropractor | 3400 Table Mesa Dr, Suite 201, Boulder, CO 80305-5869 | 2012-12-17 |
| 1316153026 | Kevin Francis Reichlin | Chiropractor | 2439 Broadway St, Boulder, CO 80304-4108 | 2007-05-16 |
| 1851339733 | Suzanne M Williamson | Chiropractor | 3445 Penrose Pl, Suite 140, Boulder, CO 80301-1878 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523752 | Grant M Smith | Chiropractor | 4161 S Verbena St, Denver, CO 80237-1747 | 2019-05-14 |
| 1124587308 | Devyn Christian | Chiropractor | 6850 W 116th Ave Ste A, Broomfield, CO 80020-0414 | 2019-03-18 |
| 1164996690 | James Westover | Chiropractor | 6161 W 44th Ave Ste 100, Wheat Ridge, CO 80033-4764 | 2019-01-17 |
| 1629550389 | Oakley Almberg | Chiropractor | 1415 Park Ave W, Denver, CO 80205-2103 | 2018-08-29 |
| 1528570280 | Core Mountain Chiropractic Clinic | Chiropractor | 13982 W Bowles Ave Ste 102, Littleton, CO 80127-1444 | 2017-11-02 |
| 1043762636 | Action Spine & Sports Medicine | Chiropractor | 2209 Larimer St, Denver, CO 80205-2094 | 2016-10-29 |
| 1407229701 | Anthony Paul Gurule Jr. | Chiropractor | 1255 Cimarron Dr, Ste 201, Lafayette, CO 80026-1283 | 2015-11-09 |
| 1043635790 | Holy Cross Chiropractic | Chiropractor | 376 Pine Street, Minturn, CO 81645 | 2014-03-04 |
| 1790100949 | Turner Chiropractic, Inc. | Chiropractor | 4617 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2937 | 2014-02-25 |
| 1346671179 | Ryan Lystad | Chiropractor | 1361 S Broadway, Denver, CO 80210-2204 | 2013-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BOULDER SPORT AND SPINE PLLC.
| 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.