Provider Demographics
NPI:1497229967
Name:PAXIA, ROSS SALVATORE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:SALVATORE
Last Name:PAXIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1892 S FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4448
Mailing Address - Country:US
Mailing Address - Phone:303-204-4078
Mailing Address - Fax:
Practice Address - Street 1:1699 S COLORADO BLVD UNIT P
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4036
Practice Address - Country:US
Practice Address - Phone:303-204-4078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12650111N00000X
COCHR.0008433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor