Provider Demographics
NPI:1639369838
Name:VIEWPOINT CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:VIEWPOINT CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-347-8837
Mailing Address - Street 1:7921 SOUTHPARK PLZ
Mailing Address - Street 2:#107
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5630
Mailing Address - Country:US
Mailing Address - Phone:303-347-8837
Mailing Address - Fax:303-347-8857
Practice Address - Street 1:7921 SOUTHPARK PLZ
Practice Address - Street 2:#107
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5630
Practice Address - Country:US
Practice Address - Phone:303-347-8837
Practice Address - Fax:303-347-8857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC500268Medicare PIN