SWAN LAKE CHIROPRACTIC
NPI 1740351055
Chiropractor in Boulder, CO

Q: What is Swan Lake Chiropractic Health's NPI number?

The NPI number for Swan Lake Chiropractic Health is 1740351055. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider is also known as Swan Lake Chiropractic.

Q: What is Swan Lake Chiropractic Health's specialty?

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

Active since November 10, 2006

724 PEARL ST, BOULDER, CO 80302(303) 449-3103(303) 402-1095 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Swan Lake Chiropractic NPPES

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

SWAN LAKE CHIROPRACTIC (NPI 1740351055) is a healthcare organization registered as a chiropractor in Boulder, Colorado and active in the NPI registry since November 2006. The organization lists Virginia Lawrence Shriver, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1740351055

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSWAN LAKE CHIROPRACTIC HEALTH

Location Address724 PEARL STBoulder, CO 80302-5006

Mailing Address724 Pearl StBoulder, CO 80302-5006 · (303) 449-3103 · Fax (303) 402-1095

Phone(303) 449-3103

Fax(303) 402-1095

Organization SubpartNo

Authorized OfficialVirginia Lawrence ShriverChiropractor · (303) 449-3103

Enumeration DateNovember 10, 2006

Last NPPES UpdateAugust 29, 2013

✔ NPI 1740351055 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.

724 PEARL ST, Boulder, CO 80302

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Other Names 1

Other NameSwan Lake Chiropractic

Other Identifiers 2

Other647681CO · Bcbs Clnic Provider No

Medicare ID-Type UnspecifiedC455458CO · Clinic Provider Number

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)

Swan Lake Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Swan Lake Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tamara Bohren, DC

Chiropractic

NPI 1700595055

724 PEARL ST
Boulder, CO 80302

(303) 449-3103

Same address

Virginia Lawrence, D.C.

Chiropractic

NPI 1811068125

724 PEARL ST
Boulder, CO 80302

(303) 449-3103

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 Swan Lake Chiropractic Health's NPI number?

The NPI number for Swan Lake Chiropractic Health is 1740351055. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider is also known as Swan Lake Chiropractic.

Where is Swan Lake Chiropractic Health located?

Swan Lake Chiropractic Health is located at 724 Pearl St, Boulder, CO 80302. The listed phone number is (303) 449-3103.

What is Swan Lake Chiropractic Health's specialty?

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

Is Swan Lake Chiropractic Health enrolled in Medicare?

Yes. Swan Lake Chiropractic Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Swan Lake Chiropractic Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Swan Lake Chiropractic Health. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Swan Lake Chiropractic Health was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.