Organization Active NPI

Summit Chiropractic

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1043377419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUMMIT CHIROPRACTIC
Practice address
6130 Barnes Rd Ste 116
Colorado Springs
Colorado Springs, CO 80922-2601
Phone
(719) 572-0006
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Jay Keller, D.C.
Title
Vice President
Phone
(719) 572-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CO Primary

Addresses

Primary practice location

6130 Barnes Rd Ste 116
Colorado Springs
Colorado Springs, CO 80922-2601

Mailing address

6130 Barnes Rd Ste 116
Colorado Springs, CO 80922-2601
Phone (719) 572-0006

National Provider Directory

National Provider Directory

Locations

6130 Barnes Rd
Ste 116
Colorado Springs, CO 80922
Phone (719) 572-0006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043377419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 BARNES RD STE 116",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222601",
            "telephone_number": "719-572-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 BARNES RD STE 116",
            "address_2": "COLORADO SPRINGS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222601",
            "telephone_number": "719-572-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "719-572-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": null,
            "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 22, 2020; 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.