Healthcare Provider Details

I. General information

NPI: 1265730766
Provider Name (Legal Business Name): JAMES WALDREN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 E MAIN ST
MONTROSE CO
81401-5821
US

IV. Provider business mailing address

1228 E MAIN ST
MONTROSE CO
81401-5821
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-2233
  • Fax: 970-249-0923
Mailing address:
  • Phone: 970-249-2233
  • Fax: 970-249-0923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0009033
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: