Republic Collaborative Care

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REPUBLIC COLLABORATIVE CARE

Practice address

1712 W Uintah St
Colorado Springs, CO 80904-2958

Phone

(970) 765-5733

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candice Kingsman

Title

President

Phone

(970) 765-5733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1013636273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 W UINTAH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042958",
            "telephone_number": "970-765-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 W UINTAH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042958",
            "telephone_number": "970-765-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPUBLIC COLLABORATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "KINGSMAN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-765-5733"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.