PROFESSIONAL CHIROPRACTIC OFFICE LLC
NPI 1902075898
Chiropractor in Greeley, CO

Active since February 25, 2008CLIA 06D2157433 · Waiver
1919 65TH AVE UNIT A, GREELEY, CO 80634(970) 353-5300(970) 353-5332 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2023, Mar 15, 2023 (2 updates tracked since 2023).

About Professional Chiropractic Office Llc NPPES

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

PROFESSIONAL CHIROPRACTIC OFFICE LLC (NPI 1902075898) is a healthcare organization registered as a chiropractor in Greeley, Colorado and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Tanner Colby Johnson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1902075898
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePROFESSIONAL CHIROPRACTIC OFFICE LLC
Location Address1919 65TH AVE UNIT AGreeley, CO 80634-7965
Mailing Address1919 65th Ave Unit AGreeley, CO 80634-7965 · (970) 353-5300 · Fax (970) 353-5332
Fax(970) 353-5332
Organization SubpartNo
Authorized OfficialTanner Colby JohnsonManaging Member · (970) 580-1463
Enumeration DateFebruary 25, 2008
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1902075898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CO · 1689
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.
1919 65TH AVE UNIT A, Greeley, CO 80634

Other Names 1

Doing Business AsProfessional Chiropractic Office Llc

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2157433

Professional Chiropractic, LLC · Greeley, CO
Active · expires Nov 5, 2026
CLIA Number06D2157433
Laboratory TypeChiropractic
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorTanner C. Johnson
Laboratory Phone(970) 353-5300
Laboratory LocationProfessional Chiropractic, LLC1919 65th Ave, Apt A, Greeley, CO 80634
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1919 65TH AVE UNIT A
GREELEY, CO 80634

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 Professional Chiropractic Office LLC's NPI number?

The NPI number for Professional Chiropractic Office LLC is 1902075898. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Professional Chiropractic Office LLC located?

Professional Chiropractic Office LLC is located at 1919 65th Ave Unit A, Greeley, CO 80634. The listed phone number is (970) 353-5300.

What is Professional Chiropractic Office LLC's specialty?

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

Does Professional Chiropractic Office LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2157433) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Professional Chiropractic Office LLC was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.