VIDA CHIROPRACTIC STUDIO, LLC (NPI# 1194891671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194891671 |
| Entity Type | Organization |
| Organization Name | VIDA CHIROPRACTIC STUDIO, LLC |
| Practice Address |
4650 W 38th Ave Suite 210 Denver CO 80212-2161 |
| Practice Telephone | 3034335433 |
| Practice Fax Number | 3034338432 |
| Mailing Telephone | 3034335433 |
| Mailing Fax Number | 3034338432 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | DR. SCOTT DAVID EVANS (OWNER) |
| Authorized Official Telephone | 3034335433 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6077 | CO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 7232115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598941692 | Vida Chiropractic Studio, LLC | Chiropractor | 4650 W 38th Ave, Suite 210, Denver, CO 80212-2161 | 2008-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | VIDA Chiropractic Studio, LLC | 4650 West 38th Ave #210, Ste #210, Denver, CO 80212 |
| Street Address |
4650 W 38TH AVE SUITE 210 |
| City | DENVER |
| State | CO |
| Zip Code | 80212-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396784260 | Christie G Bryant | Advanced Practice Midwife | 4650 W 38th Ave, Ste 215, Denver, CO 80212-2161 | 2006-06-06 |
| 1598941692 | Vida Chiropractic Studio, LLC | Chiropractor | 4650 W 38th Ave, Suite 210, Denver, CO 80212-2161 | 2008-01-18 |
| 1275676777 | Scott David Evans | Chiropractor | 4650 W 38th Ave, Suite 210, Denver, CO 80212-2161 | 2007-02-14 |
| 1316046907 | Stephanie Deanne Ring | Obstetrics & Gynecology | 4650 W 38th Ave, #215, Denver, CO 80212-2161 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
| 1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
| 1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
| 1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
| 1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
| Find all providers in zip 80212 | ||||
| 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 |
|---|---|---|---|---|
| 1588271167 | Nichole Geary | Chiropractor | 2355 N Lafayette St Apt 1, Denver, CO 80205-5381 | 2020-09-28 |
| 1649810078 | Jeremiah Dyer | Chiropractor | 9601 E Iliff Ave Apt 1215, Denver, CO 80231-3449 | 2020-01-14 |
| 1962042077 | Samantha Leger | Chiropractor | 1780 S Bellaire St Ste 710, Denver, CO 80222-4351 | 2020-01-07 |
| 1639715097 | Herb and Legend Acupuncture, Inc. | Chiropractor | 1100 E Evans Ave, Denver, CO 80210-4548 | 2019-11-20 |
| 1811539422 | Rita Jean Cummings | Chiropractor | 7150 E Hampden Ave Ste 305, Denver, CO 80224-3028 | 2019-10-15 |
| 1427690429 | Katherine Elizabeth Mullen | Chiropractor | 1313 S Clarkson St. Unit 1, Denver, CO 80210 | 2019-10-10 |
| 1336790765 | Darren Murphy | Chiropractor | 4346 Alcott St, Denver, CO 80211-1755 | 2019-09-26 |
| 1619520111 | Alex Wolf | Chiropractor | 5775 W Dartmouth Ave Unit 8-308, Denver, CO 80227-5584 | 2019-07-23 |
| 1164074274 | Stephanie Vicens Beard | Chiropractor | 190 E 9th Ave Ste 135, Denver, CO 80203-2744 | 2019-07-10 |
| 1790249613 | Timothy Jordan Prescott | Chiropractor | 1416 N Downing St Apt 5, Denver, CO 80218-2132 | 2019-01-24 |
| Find all providers in DENVER | ||||
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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.