Individual provider Active NPI

Steven Mitchel Peltzman, D.C.

  • Sports Physician Chiropractor
  • Glenwood Springs, CO
National Provider Identifier
1114023314
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3184 Issued in CO
Practice address
1517 Blake Ave
Suite #201
Glenwood Springs, CO 81601-3643
Phone
(970) 945-8466
Fax
(970) 945-8413
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3184 CO Primary

Addresses

Primary practice location

1517 Blake Ave
Suite #201
Glenwood Springs, CO 81601-3643

Mailing address

PO Box 8
Glenwood Springs, CO 81602-0008
Phone (970) 945-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3184COMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1114023314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020008",
            "telephone_number": "970-945-8466",
            "fax_number": "970-945-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 BLAKE AVE",
            "address_2": "SUITE #201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013643",
            "telephone_number": "970-945-8466",
            "fax_number": "970-945-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZMAN",
        "first_name": "STEVEN",
        "middle_name": "MITCHEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.