Individual provider Active NPI

Mitchell Charles Adrian, DC

  • Chiropractor
  • Woodland Park, CO
National Provider Identifier
1104781582
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0009019 Issued in CO
Practice address
18401 Highway 24 Ste 120
Woodland Park, CO 80863-9036
Phone
(719) 687-6683
NPI assigned
Dec 18, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0009019 CO Primary

Addresses

Primary practice location

18401 Highway 24 Ste 120
Woodland Park, CO 80863-9036

Mailing address

920 Stone Park LN Apt 304
Woodland Park, CO 80863-3189

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260120003355 CO Practitioner - Chiropractic 3678050762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1823 Ford St
Suite 35
Golden, CO 80401-2464

920 Stone Park LN
Apt 304
Woodland Park, CO 80863-3187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0009019COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Integrated Care Network LLC CurrentSince Jan 28, 2026 Accepting new patients
Fountain Creek Chiropractic Chiropractor CurrentSince Jan 13, 2026 Accepting new patients

Locations

1823 Ford St
Ste 35
Golden, CO 80401
Phone (303) 641-2254

18401 Highway 24
Ste 120
Woodland Park, CO 80863
Phone (719) 687-6683

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1104781582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STONE PARK LN APT 304",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 HIGHWAY 24 STE 120",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639036",
            "telephone_number": "719-687-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRIAN",
        "first_name": "MITCHELL",
        "middle_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0009019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.