NPIMap

Organization Active NPI

Columbine Chiropractic Health Center, PC

Doing business as Antoinette Nowakowski, D.C., D.A.B.C.O.

  • Orthopedic Chiropractor
  • Durango, CO
National Provider Identifier
1104073998
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2357 Issued in CO
Legal business name
COLUMBINE CHIROPRACTIC HEALTH CENTER, PC
Doing business as
Antoinette Nowakowski, D.C., D.A.B.C.O.
Practice address
329 S Camino del Rio
Suite G
Durango, CO 81303-7935
Phone
(970) 259-0077
Fax
(970) 259-6540
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Antoinette Hatala Nowakowski, D.C., D.A.B.C.O.NPI 1336193804
Title
President
Phone
(970) 259-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 2357 CO Primary

Addresses

Primary practice location

329 S Camino del Rio
Suite G
Durango, CO 81303-7935

Mailing address

329 S Camino del Rio
Suite G
Durango, CO 81303-7935
Phone (970) 259-0077

Other names 1

  • Antoinette Nowakowski, D.C., D.A.B.C.O. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000392 CO Part B Supplier - Clinic/Group Practice 3577630490 Receives reassigned benefits from 1 practitioner
Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Locations

329 S Camino del Rio
Ste G
Durango, CO 81303
Phone (970) 259-0077

Practitioners & affiliated clinicians

Practitioners 1

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": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1104073998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S CAMINO DEL RIO",
            "address_2": "SUITE G",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037935",
            "telephone_number": "970-259-0077",
            "fax_number": "970-259-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S CAMINO DEL RIO",
            "address_2": "SUITE G",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037935",
            "telephone_number": "970-259-0077",
            "fax_number": "970-259-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBINE CHIROPRACTIC HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWAKOWSKI",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "HATALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-259-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.B.C.O."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CO",
            "license": "2357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antoinette Nowakowski, D.C., D.A.B.C.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.