Healthcare Provider Details

I. General information

NPI: 1356252258
Provider Name (Legal Business Name): COLORADO HEALTH INITIATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S WILCOX ST STE D
CASTLE ROCK CO
80104-1940
US

IV. Provider business mailing address

140 S WILCOX ST STE D
CASTLE ROCK CO
80104-1940
US

V. Phone/Fax

Practice location:
  • Phone: 303-688-2300
  • Fax: 303-688-2325
Mailing address:
  • Phone: 303-688-2300
  • Fax: 303-688-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CLINTON SAMUEL DICKASON
Title or Position: OWNER/PRESIDENT
Credential: DC
Phone: 303-915-7932