Provider Demographics
NPI:1548397839
Name:CHIROPRACTIC PLUS, PC
Entity Type:Organization
Organization Name:CHIROPRACTIC PLUS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-254-8430
Mailing Address - Street 1:550 THORNTON PKWY
Mailing Address - Street 2:SUITE 178
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2100
Mailing Address - Country:US
Mailing Address - Phone:303-254-8430
Mailing Address - Fax:303-254-8235
Practice Address - Street 1:550 THORNTON PKWY
Practice Address - Street 2:SUITE 178
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2100
Practice Address - Country:US
Practice Address - Phone:303-254-8430
Practice Address - Fax:303-952-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU19542Medicare UPIN
COK2913Medicare ID - Type UnspecifiedKENNETH PATRICK RAY
COK2903Medicare ID - Type UnspecifiedCHIROPRACTIC PLUS