Healthcare Provider Details

I. General information

NPI: 1861290926
Provider Name (Legal Business Name): KAISER MCNAB ENTERPRISES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 PLAZA DR STE 100
HIGHLANDS RANCH CO
80129-2399
US

IV. Provider business mailing address

640 PLAZA DR STE 100
HIGHLANDS RANCH CO
80129-2399
US

V. Phone/Fax

Practice location:
  • Phone: 303-347-8837
  • Fax: 303-347-8857
Mailing address:
  • Phone: 303-347-8837
  • Fax: 303-347-8857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON A KAISER
Title or Position: SHARE OWNER
Credential: DC
Phone: 303-520-3364