NPIMap

Organization Active NPI

Otero Chiropractic Clinic, PC

  • Chiropractor
  • La Junta, CO
National Provider Identifier
1104162437
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6336 Issued in CO
Legal business name
OTERO CHIROPRACTIC CLINIC, PC
Practice address
313 W 3Rd St
Suite 205
La Junta, CO 81050-1411
Phone
(719) 469-1692
NPI assigned
Dec 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. David Andrew Malott, D.C.
Title
Owner
Phone
(719) 469-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6336 CO Primary

Addresses

Primary practice location

313 W 3Rd St
Suite 205
La Junta, CO 81050-1411

Mailing address

313 West 3Rd Street
Suite 205
La Junta, CO 81050
Phone (719) 469-1692

National Provider Directory

National Provider Directory

Locations

313 W 3rd St
Ste 205
La Junta, CO 81050
Phone (719) 469-1692

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1104162437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WEST 3RD STREET",
            "address_2": "SUITE 205",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "81050",
            "telephone_number": "719-469-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W 3RD ST",
            "address_2": "SUITE 205",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501411",
            "telephone_number": "719-469-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTERO CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "MALOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-469-1692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.