Derrik Pietrobon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0008366 Issued in CO

Practice address

6049 Barnes Rd
Colorado Springs, CO 80922-2603

Phone

(719) 637-7900

Fax

(719) 637-7654

NPI assigned

Nov 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, MI2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Regenerative HealthGroup PAC ID 6406295849, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Regenerative Health

  • Chiropractor
  • Waterford, MI
  • NPI 1518734797
  Medicare reassignment Care Compare group NPD
• Tor Wellness Two

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1699245886
  Medicare reassignment NPD
• Tor Wellness, LLC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1508309972
  NPD
• 100 Percent Chiropractic Colorado Springs Six, LLC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1912390261
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1043856438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222603",
            "telephone_number": "719-637-7900",
            "fax_number": "719-637-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222603",
            "telephone_number": "719-637-7900",
            "fax_number": "719-637-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28379 Davis Pkwy Ste 803",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553032",
            "country_code": "US",
            "telephone_number": "630-393-2225",
            "fax_number": "630-393-2224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 E Boughton Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604402189",
            "country_code": "US",
            "telephone_number": "630-739-1791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETROBON",
        "first_name": "DERRIK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013472",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Michael Pierce, M.D.
• Pierre Anctil. OD PC
• Glenn N Pierre, O.D.
• Cindy Lee Pierson, NP
• Brittany Pieters, M.A.
• Molly Piette
• Amy Pihlstrom, PT
• Dirk P Pikaart, DO
• Katelyn Ann Pike, PTA
• Pikes Peak Allergy & Asthma

• Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.