=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528994514
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRUCTURED WELLNESS P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2026
-----------------------------------------------------
Last Update Date | 06/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 334 S TELLER ST
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80226-7384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-222-8091
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 334 S TELLER ST
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80226-7384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-222-8091
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JASON E MILLER
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 970-227-8340
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------