Organization Active NPI

Colorado Chiropractic, LLC

  • Chiropractor
  • Pueblo, CO
National Provider Identifier
1114018579
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4918 Issued in CO
Legal business name
COLORADO CHIROPRACTIC, LLC
Practice address
3606 Morris Ave Ste B
Pueblo, CO 81008-1369
Phone
(719) 546-2446
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Gregory J Sanchez, D.C.NPI 1821109505
Title
Owner
Phone
(719) 546-2446

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4918 CO Primary

Addresses

Primary practice location

3606 Morris Ave Ste B
Pueblo, CO 81008-1369

Mailing address

3606 Morris Ave Ste B
Pueblo, CO 81008-1369
Phone (719) 546-2446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000268 CO Part B Supplier - Clinic/Group Practice 4587655915 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

3606 Morris Ave
Ste B
Pueblo, CO 81008
Phone (719) 544-7744

3606 Morris Ave
Ste 115
Pueblo, CO 81008
Phone (719) 546-2446

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1114018579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MORRIS AVE STE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081369",
            "telephone_number": "719-546-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MORRIS AVE STE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081369",
            "telephone_number": "719-546-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-546-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.