DR. JOHN MICHAEL MINEN (NPI# 1548626088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548626088 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL MINEN |
| Credential | D.C. |
| Practice Address |
2299 Pearl St Ste 105 Boulder CO 80302-4669 |
| Mailing Address |
3260 Cripple Creek Trl Boulder CO 80305-7194 |
| Practice Telephone | 3037369343 |
| Practice Fax Number | 8556679565 |
| Mailing Telephone | 3304214237 |
| Mailing Fax Number | 8556679565 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHR.0007584 | CO | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIR009623 | GA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 754 Peachtree St Ne, 105, Atlanta, GA 303081206 | 3304214237 |
| Street Address |
2299 PEARL ST STE 105 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649763996 | Amanda Peters | Chiropractor | 2299 Pearl St Ste 105, Boulder, CO 80302-4669 | 2018-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| 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 |
| 1831206770 | Boulder Sport and Spine Pllc | Chiropractor | 3400 Table Mesa Dr Ste 201, Boulder, CO 80305-5850 | 2006-08-24 |
| 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 | ||||
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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.