Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295924983 Individual Practitioner Female Practitioner

Dr. Danielle Custode , DC

Chiropractor • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Danielle Custode, DC is a registered healthcare professional specializing in Chiropractor in Boulder, CO. Practice services are available at 3400 TABLE MESA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3400 Table Mesa Dr
Suite 201

Boulder, CO 803055869

Telephone 3034999442
Fax 3034948678
Associated Practice Facility / Clinic
🏢 Boulder Massage Facility NPI 1215267851

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
120 Specialists

Practicing in Boulder, CO (2434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CO 5900

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Larry Frieder

Chiropractor

NPI 1417998501

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 29, 2008

Registered at 3400 TABLE MESA DR, SUITE 201, BOULDER, CO 803055869 (Tel: 3034999442)

📍
Updated Business Mailing Address February 29, 2008

Registered at 3400 TABLE MESA DR, SUITE 201, BOULDER, CO 803055869 (Tel: 3034999442)

👤
Provider Name / Credentials Updated February 29, 2008

Recorded as DANIELLE CUSTODE, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2008

Chiropractor (License #5900 in CO)

🟢
Initial NPI Registration & Enumeration October 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295924983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2007
Last Update: February 29, 2008
Sole Proprietor: Yes

Mailing Address

3400 Table Mesa Dr, Suite 201

Boulder, CO 803055869

Phone: 3034999442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.