Individual provider Active NPI

Alan Wedell, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1003373515
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007986 Issued in CO
Practice address
6120 Barnes Rd Ste 160
Colorado Springs, CO 80922-2605
Phone
(719) 550-1234
Fax
(719) 203-5271
NPI assigned
Feb 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007986 CO Primary

Addresses

Primary practice location

6120 Barnes Rd Ste 160
Colorado Springs, CO 80922-2605

Mailing address

4 Garfield CT
Davenport, IA 52804-1721

Other practice location 1

1730 Connecticut Ave NW
Washington, DC 20009-1368
Phone (203) 918-9749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007986COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heuser Chiropractic, P.C. Chiropractor Past Accepting new patients
Peak Balance Family Wellness PLLC PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1003373515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARFIELD CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BARNES RD STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222605",
            "telephone_number": "719-550-1234",
            "fax_number": "719-203-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Connecticut Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200091368",
            "country_code": "US",
            "telephone_number": "203-918-9749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDELL",
        "first_name": "ALAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.