REVOLVE SPINE LLC (NPI# 1922546621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922546621 |
| Entity Type | Organization |
| Organization Name | REVOLVE SPINE LLC |
| Practice Address |
201 West County Line Road Littleton CO 80129-1901 |
| Practice Telephone | 3037381725 |
| Practice Fax Number | 3037385876 |
| Mailing Telephone | 3037381725 |
| Mailing Fax Number | 3037385876 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | DR. SANG PHAM (CHIROPRACTOR) |
| Authorized Official Telephone | 3037381725 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 7078 | CO | Chiropractic Providers |
| Street Address |
201 WEST COUNTY LINE ROAD |
| City | LITTLETON |
| State | CO |
| Zip Code | 80129-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874027 | Sarah Elizabeth Gerken | Occupational Therapist | 9375 Roadrunner Street, Highlands Ranch, CO 80129 | 2020-09-02 |
| 1952928863 | Juliana Le | Nurse Practitioner | 9088 S. Ridgeline Blvd, Highlands Ranch, CO 80129 | 2020-06-26 |
| 1376046367 | Richard F Shriner | Counselor | 1745 Shea Center Dr.. Ste. 421, Highlands Ranch, CO 80129 | 2018-03-15 |
| 1285145144 | Antonella Valencia | Specialist/Technologist | 8362 Erickson Blvd Apt 9304, Littleton, CO 80129 | 2017-10-18 |
| 1306384763 | Amy Neer | Physical Therapist | 9139 South Ridgeline Rd, Highlands Ranch, CO 80129 | 2017-02-06 |
| 1235673443 | Kathryn Lohrman | Physical Therapist | 1265 Sergeant Jon Stiles Drive, Suite D, Highlands Ranch, CO 80129 | 2016-12-06 |
| 1790237626 | Erica Elizabeth Alonzo | Physician Assistant | 9497 Wolfe Ct, Highlands Ranch, CO 80129 | 2016-10-26 |
| 1689129181 | Casey Elizabeth Bauer | Specialist/Technologist | 10504 Colby Canyon Dr, Highlands Ranch, CO 80129 | 2016-08-25 |
| 1558769539 | Kari Barton Md LLC | Clinic/Center | 9088 South Ridgeline Blve., Ste. #201, Highlands Ranch, CO 80129 | 2014-12-08 |
| 1710386461 | Linda L Williams Md PC | Community/Behavioral Health | 9088 S Ridgeline Blvd, Highlands Ranch, CO 80129 | 2014-08-19 |
| Find all providers in zip 80129 | ||||
| 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 |
|---|---|---|---|---|
| 1992315915 | Andrew Phelan Dc PC | Chiropractor | 6169 S Balsam Way Ste 310, Littleton, CO 80123-3064 | 2020-08-04 |
| 1194296442 | Nathan Younkin | Chiropractor | 5601 S Broadway Ste 50, Littleton, CO 80121-8010 | 2018-12-16 |
| 1922573062 | Haley Harvey | Chiropractor | 9806 S Crystal Lake Dr, Littleton, CO 80125-8429 | 2018-10-04 |
| 1811478985 | Todd Michael Cunningham | Chiropractor | 8370 W Coal Mine Ave Ste 107, Littleton, CO 80123-4401 | 2018-08-27 |
| 1629561659 | Highland Chiropractic Pllc | Chiropractor | 111 Saranac St Ste 14, Littleton, NH 03561-4093 | 2018-06-13 |
| 1568977536 | Michael William Norris | Chiropractor | 621 Southpark Dr Ste 1900, Littleton, CO 80120-5678 | 2017-12-12 |
| 1396268264 | Joel Ruppel | Chiropractor | 7338 Hawks Nest Trl, Littleton, CO 80125-9292 | 2017-07-21 |
| 1417470980 | Kelsey Latham | Chiropractor | 6220 S Vivian St, Littleton, CO 80127-2391 | 2017-07-17 |
| 1639616691 | Michael Ashton Hetterscheidt | Chiropractor | 9310 W Ontario Dr, Littleton, CO 80128-4032 | 2017-01-27 |
| 1720536956 | Oscar Pablo Ness | Chiropractor | 791 Southpark Dr Ste 400, Littleton, CO 80120-6401 | 2016-09-16 |
| Find all providers in LITTLETON | ||||
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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.