MISSION TRACE CHIROPRACTIC CENTER (NPI# 1982908679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982908679 |
| Entity Type | Organization |
| Organization Name | MISSION TRACE CHIROPRACTIC CENTER |
| Practice Address |
3953 E 120th Ave Ste B Thornton CO 80233-2090 |
| Practice Telephone | 3034522960 |
| Practice Fax Number | 3034521344 |
| Mailing Telephone | 3034522960 |
| Mailing Fax Number | 3034521344 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | DR. CHARLES E JANUSCHKA (OWNER/OPERATTOR) |
| Authorized Official Telephone | 7204703805 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
2242 | CO | Chiropractic Providers |
| Street Address |
3953 E 120TH AVE STE B |
| City | THORNTON |
| State | CO |
| Zip Code | 80233-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477675981 | Dr. Charles Januschka PC | Chiropractor | 3953 E 120th Ave Ste B, Thornton, CO 80233-2090 | 2007-04-04 |
| 1386178937 | Amanda Kahara | Massage Therapist | 3953 E 120th Ave Ste B, Thornton, CO 80233-2090 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496991 | Lauren N Penn | Chiropractor | 3595 E Fountain Blvd Ste 220, Colorado Springs, CO 80910-7713 | 2020-04-16 |
| 1336789924 | Tyler A Gaines | Chiropractor | 3 Oakwood Park Plz Ste 103, Castle Rock, CO 80104-1888 | 2020-01-10 |
| 1417513060 | Celeste Irene Hendry | Chiropractor | 215 N Colorado St, Gunnison, CO 81230-2103 | 2019-05-18 |
| 1942441217 | Ryan C Weisgerber | Chiropractor | 1002 W. Drake, Fort Collins, CO 80526 | 2009-03-17 |
| 1457548570 | Verna Inez Brasher | Chiropractor | 7120 E 49th Ave, Commerce City, CO 80022-4715 | 2007-10-02 |
| 1639719271 | Gaining Health Chiropractic | Chiropractor | 3 Oakwood Park Plz Ste 103, Castle Rock, CO 80104-1888 | 2020-01-12 |
| 1912268327 | Tennant Chiropractic Pllc | Chiropractor | 853 Main St, Nucla, CO 81424 | 2012-06-01 |
| 1114287489 | Michael D Tennant | Chiropractor | 853 Main St, Nucla, CO 81424-0454 | 2012-05-21 |
| 1831325745 | North Boulder Chiropractic | Chiropractor | 1280 Yellow Pine Ave, Boulder, CO 80304-2264 | 2009-06-05 |
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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.