Active NPI
Patrick Ryan Engelhardt, D.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1033500160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7243
- Practice address
- 1779 S 8TH St Ste a
Colorado Springs, CO 80905-1985 - Phone
- (719) 301-7450
- Fax
- (719) 213-2568
- NPI assigned
- Feb 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7243 | CO | Primary |
Addresses
Primary practice location
1779 S 8TH St Ste a
Colorado Springs, CO 80905-1985
Mailing address
1779 S 8TH St Ste a
Colorado Springs, CO 80905-1985
Phone (719) 301-7450
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7243 | CO | MD | General Practice Dentistry |
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": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1033500160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1779 S 8TH ST STE A",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051985",
"telephone_number": "719-301-7450",
"fax_number": "719-213-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1779 S 8TH ST STE A",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051985",
"telephone_number": "719-301-7450",
"fax_number": "719-213-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHARDT",
"first_name": "PATRICK",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-11",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "7243",
"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 Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.