CEO SOUTH DENVER INC (NPI# 1932269420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932269420 |
| Entity Type | Organization |
| Organization Name | CEO SOUTH DENVER INC |
| Other Organization Name | LIFETIME HEALTH & WELLNESS |
| Practice Address |
4100 E Mississippi Avenue Suite 310 Glendale CO 80246 |
| Practice Telephone | 3037595575 |
| Practice Fax Number | 7205965171 |
| Mailing Telephone | 3037595575 |
| Mailing Fax Number | 7205965171 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES J HOVEN JR. (PRESIDENT) |
| Authorized Official Telephone | 3037595575 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CO | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Lifetime Health & Wellness | Doing Business As Name - Organization |
| Street Address |
4100 E MISSISSIPPI AVENUE SUITE 310 |
| City | GLENDALE |
| State | CO |
| Zip Code | 80246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| 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 |
|---|---|---|---|---|
| 1437750528 | Innovative Pain and Wellness Plc | Chiropractor | 8110 W Union Hills Dr Ste 320, Glendale, AZ 85308-8181 | 2020-11-04 |
| 1174139042 | Fitness Covered Group LLC | Chiropractor | 654 Hawthorne St, Glendale, CA 91204-1002 | 2020-09-16 |
| 1558979732 | Fitness Covered LLC | Chiropractor | 654 Hawthorne St Ste B, Glendale, CA 91204-1002 | 2020-07-14 |
| 1386283182 | Jensen Moore Chiropractic Pllc | Chiropractor | 6033 W Bell Rd Ste H, Glendale, AZ 85308-3764 | 2019-12-27 |
| 1346888336 | Farzan Billimoria | Chiropractor | 18301 N 79th Ave Ste H192, Glendale, AZ 85308-8457 | 2019-12-20 |
| 1083170492 | Flex Pt and Chiropractic Medical Group A Medical Corporation | Chiropractor | 500 N Central Ave Ste 225, Glendale, CA 91203-1994 | 2019-02-11 |
| 1194200493 | Trinity Chiropractic, LLC | Chiropractor | 18275 N 59th Ave Ste 178, Glendale, AZ 85308-1254 | 2018-10-02 |
| 1033600101 | Michael Dellacorte | Chiropractor | 2505 Canada Blvd, Glendale, CA 91208-2042 | 2018-05-24 |
| 1891202909 | The Wellness Center, Inc | Chiropractor | 870 S Colorado Blvd Ste 200, Glendale, CO 80246-2080 | 2018-01-10 |
| 1598295180 | Weathersby Chiropractic | Chiropractor | 6033 W. Bell Road, Suite H, Glendale, AZ 85308-3764 | 2017-06-15 |
| Find all providers in GLENDALE | ||||
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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.