Active NPI
Kirby Shane Gengler, DC
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1043370810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6598
- Practice address
- 3707 Parkmoor Village Dr
Suite 101
Colorado Springs, CO 80917-6251 - Phone
- (719) 571-0070
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6598 | CO | Primary |
Addresses
Primary practice location
3707 Parkmoor Village Dr
Suite 101
Colorado Springs, CO 80917-6251
Mailing address
2135 Copley Rd
Colorado Springs, CO 80920-3503
Phone (719) 233-8526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3707 Parkmoor Village Dr
Suite 101
Colorado Springs, CO 80917-5203
Phone (719) 571-0070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6598 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 06935 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heuser Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Heuser Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1043370810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 COPLEY RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203503",
"telephone_number": "719-233-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 PARKMOOR VILLAGE DR",
"address_2": "SUITE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809176251",
"telephone_number": "719-571-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENGLER",
"first_name": "KIRBY",
"middle_name": "SHANE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6598",
"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 Aug 30, 2016; 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.