Individual provider Active NPI

John M Asthalter, DC

  • Sports Physician Chiropractor
  • Dillon, CO
National Provider Identifier
1013041896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5945 Issued in CO
Practice address
114 Village Place
#302
Dillon, CO 80435
Phone
(970) 513-9234
Fax
(970) 513-9238
NPI assigned
Mar 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5945 CO Primary

Addresses

Primary practice location

114 Village Place
#302
Dillon, CO 80435

Mailing address

114 Village PL
Dillon, CO 80435
Phone (970) 513-9234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000482 CO Practitioner - Chiropractic 5294863676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Chiropractic and Rehabilitation, P.C.Group PAC ID 8628106291, 2 clinicians

Practice addresses (Care Compare)

114 Village PL
Apt 302
Dillon, CO 80435-6544
Phone (970) 513-9234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5945COMDMental Illness Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic & Rehabilitation, P.C. CurrentSince Feb 4, 2010 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013041896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VILLAGE PL",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "80435",
            "telephone_number": "970-513-9234",
            "fax_number": "970-513-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 VILLAGE PLACE",
            "address_2": "#302",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "80435",
            "telephone_number": "970-513-9234",
            "fax_number": "970-513-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTHALTER",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "5945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.