CANYON CHIROPRACTIC WELLNESS CENTER LLC (NPI# 1548569155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548569155 |
| Entity Type | Organization |
| Organization Name | CANYON CHIROPRACTIC WELLNESS CENTER LLC |
| Practice Address |
1425 Hawk Pkwy Suite 1 Montrose CO 81401-6453 |
| Practice Telephone | 9702402181 |
| Practice Fax Number | 9702402188 |
| Mailing Telephone | 9702402181 |
| Mailing Fax Number | 9702402188 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | DR. BRETT LAWTON EDEKER (MANAGING MEMBER) |
| Authorized Official Telephone | 9702402181 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4863 | CO | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Canyon Chiropractic Wellness Center LLC | 1425 Hawk Parkway, Suite 1, Montrose, CO 81401 |
| Street Address |
1425 HAWK PKWY SUITE 1 |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-6453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952467821 | Noralma Garcia | Dentist | 1425 Hawk Pkwy, Suite #7, Montrose, CO 81401 | 2006-12-28 |
| 1063605830 | Kenneth Cory | Dentist | 1425 Hawk Pkwy, #7, Montrose, CO 81401-6453 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| 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 |
|---|---|---|---|---|
| 1003313883 | Garik Mananian | Chiropractor | 2032 Thompson Ct, Ste 9, Montrose, CA 91020-1652 | 2018-04-09 |
| 1154822534 | Western Slope Chiropractic Inc. | Chiropractor | 309 S Cascade Ave, Montrose, CO 81401-4201 | 2018-02-22 |
| 1629429683 | Tara Madden | Chiropractor | 1541 Oxbow Dr, Suite 1600, Montrose, CO 81401-4780 | 2016-06-30 |
| 1205261013 | Julie Ann Huss | Chiropractor | 145 Nelson Blvd, Suite 1000, Montrose, MN 55363-8534 | 2013-09-11 |
| 1689938722 | Victoria Denise Bourgeois | Chiropractor | 2731 Commercial Way, Montrose, CO 81401-5700 | 2012-07-03 |
| 1588996839 | Eric Brandon Rood | Chiropractor | 337 High School Rd, Suites 1&3, Montrose, PA 18801 | 2010-02-10 |
| 1013143445 | Montrose Wellness Pa | Chiropractor | 145 Nelson Blvd, Ste # 1000, Montrose, MN 55363 | 2009-05-29 |
| 1275777393 | Robert D. Davis Jr. | Chiropractor | 60331 Oasis Rd, Montrose, CO 81403-9613 | 2009-04-21 |
| 1679740690 | Andrew James Hawley | Chiropractor | 405 Grow Ave, Montrose, PA 18801-1105 | 2008-05-08 |
| 1902015944 | Gary Vergil Mcgowan | Chiropractor | 210 82nd St Se, Montrose, MN 55363-8005 | 2007-05-22 |
| Find all providers in MONTROSE | ||||
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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.