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MOUNTAINSIDE FAMILY CHIROPRACTIC LLC
NPI 1104616887
Chiropractor in Lakewood, CO

Active since May 07, 2025
6565 W JEWELL AVE STE 12A, LAKEWOOD, CO 80232(303) 484-8136(303) 484-8371 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountainside Family Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINSIDE FAMILY CHIROPRACTIC LLC (NPI 1104616887) is a healthcare organization registered as a chiropractor in Lakewood, Colorado and active in the NPI registry since May 2025. The organization lists Amanda Kelley, Owner, as its authorized official.

NPPES Registry Identity

NPI1104616887
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMOUNTAINSIDE FAMILY CHIROPRACTIC LLC
Location Address6565 W JEWELL AVE STE 12ALakewood, CO 80232-7102
Mailing Address6565 W Jewell Ave Ste 12aLakewood, CO 80232-7102 · (303) 484-8136 · Fax (303) 484-8371
Phone(303) 484-8136
Fax(303) 484-8371
Organization SubpartNo
Authorized OfficialAmanda KelleyOwner · (303) 484-8136
Enumeration DateMay 7, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1104616887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
6565 W JEWELL AVE STE 12A, Lakewood, CO 80232
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountainside Family Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountainside Family Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Kelley, D.C.
Chiropractic
NPI 1043394380
6565 W JEWELL AVE STE 12A
Lakewood, CO 80232
(303) 484-8136
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainside Family Chiropractic LLC's NPI number?

The NPI number for Mountainside Family Chiropractic LLC is 1104616887. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Mountainside Family Chiropractic LLC located?

Mountainside Family Chiropractic LLC is located at 6565 W Jewell Ave Ste 12A, Lakewood, CO 80232. The listed phone number is (303) 484-8136.

What is Mountainside Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mountainside Family Chiropractic LLC enrolled in Medicare?

Yes. Mountainside Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountainside Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Mountainside Family Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountainside Family Chiropractic LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.