GENESIS CHIROPRACTIC SPINE AND SPORTS CENTER


Address: 7940 S University Blvd, Suite 100, Centennial, CO 80122
Phone: 7604497641

GENESIS CHIROPRACTIC SPINE AND SPORTS CENTER (NPI# 1588009880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588009880
Entity Type Organization
Organization Name GENESIS CHIROPRACTIC SPINE AND SPORTS CENTER
Practice Address 7940 S University Blvd, Suite 100
Centennial
CO 80122
Mailing Address 7940 S University Blvd Ste 100
Centennial
CO 80122-5104
Practice Telephone 7604497641
Mailing Telephone 7604497641
Enumeration Date 2013-05-01
Last Update Date 2013-05-01
Authorized Official Name DR. CLYDE JOHNSON (DOCTOR/OWNER)
Authorized Official Telephone 7604497641
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor CHR.0006922 CO Chiropractic Providers
Y 111NS0005X Chiropractor
Specialization: Sports Physician
CHR.0006922 CO Chiropractic Providers

Office Location

Street Address 7940 S UNIVERSITY BLVD, SUITE 100
City CENTENNIAL
State CO
Zip Code 80122

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NPI Name Taxonomy Address Enumeration
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1194112847 Mary Schroeter Social Worker 7950 S Lincoln St Ste 108, Littleton, CO 80122 2015-04-21
1568864981 St Petro LLC Assisted Living Facility 7032 S Franklin St, Centennial, CO 80122 2014-09-17
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184778052 Kelly Shockley Chiropractor 9137 E Mineral Cir Ste 380, Centennial, CO 80112-3424 2007-01-22
1063766723 Clyde Francis Johnson Chiropractor 7940 S University Blvd, Ste 100, Centennial, CO 80122-5104 2012-11-02
1356489744 Marc Alan Garfinkel Chiropractor 6881 S Holly Cir Ste 207, Centennial, CO 80112-1145 2007-02-01

Providers in the same taxonomy and state

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
1396255568 Colorado Sports Chiropractic Chiropractor 1440 28th St Ste 2, Boulder, CO 80303 2017-10-02
1043762636 Action Spine & Sports Medicine Chiropractor 2209 Larimer St, Denver, CO 80205-2094 2016-10-29
1548626088 John Michael Minen Chiropractor 2299 Pearl St Ste 105, Boulder, CO 80302-4669 2016-01-13
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
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Competitor

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City CENTENNIAL
Zip Code 80122

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Dataset Information

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.

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