CANON CHIROPRACTIC LLC (NPI# 1477986834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477986834 |
| Entity Type | Organization |
| Organization Name | CANON CHIROPRACTIC LLC |
| Practice Address |
612 Yale Pl Canon City CO 81212-4611 |
| Practice Telephone | 7192750100 |
| Practice Fax Number | 7192750110 |
| Mailing Telephone | 7192750100 |
| Mailing Fax Number | 7192750110 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | DR. SETH TYSON OQUIST (OWNER) |
| Authorized Official Telephone | 7194697697 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6815 | CO | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Canon Chiropractic LLC | 612 Yale Pl, Canyon City, CO 81212 |
| Street Address |
612 YALE PL |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003009242 | Sabatini Pediatrics PC | Pediatrics | 612 Yale Pl, Canon City, CO 81212-4611 | 2007-08-21 |
| 1275888380 | Seth Tyson Oquist | Chiropractor | 612 Yale Pl, Canon City, CO 81212-4611 | 2012-07-16 |
| 1710124813 | Sabatini Pediatrics PC | Clinic/Center | 612 Yale Pl, Canon City, CO 81212-4611 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| 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 |
|---|---|---|---|---|
| 1093847618 | Jennifer A Murray | Chiropractor | 705 Fairview Ave, Canon City, CO 81212-2859 | 2007-03-09 |
| 1669531018 | Michael Vern Christiansen | Chiropractor | 760 Piedra Street, Canon City, CO 81212 | 2006-12-08 |
| 1881761856 | Lawrence D Sutton | Chiropractor | 1315 Royal Gorge Blvd, Canon City, CO 81212-3818 | 2006-11-28 |
| 1851490833 | Joe J Ashton | Chiropractor | 1337 Phay Ave, Canon City, CO 81212 | 2006-09-22 |
| 1821009804 | Susan Colby Allen | Chiropractor | 1411 Harrison Ave, Canon City, CO 81212-3521 | 2006-08-11 |
| 1720050420 | Dale Chris Buckhaults | Chiropractor | 212 N 19th St, Canon City, CO 81212-2423 | 2006-02-06 |
| 1679578280 | William J Ottersberg Jr. | Chiropractor | 3055 E Hwy 50, Suite C, Canon City, CO 81212-2775 | 2005-06-20 |
| 1710423447 | Young and Graham PC | Chiropractor | 109 Latigo Ln, Suite A, Canon City, CO 81212-8112 | 2017-01-19 |
| 1275888380 | Seth Tyson Oquist | Chiropractor | 612 Yale Pl, Canon City, CO 81212-4611 | 2012-07-16 |
| 1174706261 | Dc Family Chiropractic Inc | Chiropractor | 212 N 19th St, Canon City, CO 81212-2423 | 2007-12-11 |
| Find all providers in CANON CITY | ||||
| City | CANON CITY |
| Zip Code | 81212 |
Please comment or provide details below to improve the information on CANON CHIROPRACTIC LLC.
| 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.