Kamryn Sholly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0008368 Issued in CO

Practice address

5714 W 89TH Ave
Westminster, CO 80031-2869

Phone

(719) 649-1274

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Integrated Care Network LLCGroup PAC ID 0244770279, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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.

• Colorado Integrated Care Network LLC

  • Physical Medicine & Rehabilitation Physician
  • Golden, CO
  • NPI 1225464399
  Medicare reassignment Care Compare group NPD
• 100 Chiro Westminster, LLC

  • Chiropractor
  • Westminster, CO
  • NPI 1881286599
  Medicare reassignment NPD
• Revival Chiropractic

  • Chiropractor
  • Westminster, CO
  • NPI 1356223465
  NPD Authorized official
• 100 Chiro Peterson Three LLC

  • Chiropractor
  • Westminster, CO
  • NPI 1851904023
  NPD

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1043891302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 E COLFAX AVE APT 3522",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 W 89TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312869",
            "telephone_number": "719-649-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLLY",
        "first_name": "KAMRYN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Shields
• Angie Shin
• Taj Mohammad Shinwary
• Carrie Marie Shoemaker, C.M.T.
• Meghan Shoemaker
• Shon J Peterson, DMD, Ms
• Jacky J Shook, RN
• Cameron Shropshire, BS, CAC I
• Christina Renee Shulman, MSW, LCSW
• Steven James Siano, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.