Individual provider Active NPI

Kellen Park Schweitzer, D.C., B.S.

  • Chiropractor
  • Loveland, CO
National Provider Identifier
1134542574
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007085 Issued in CO
Practice address
1047 N Lincoln Ave
Loveland, CO 80537-4844
Phone
(970) 667-4062
Fax
(970) 667-5089
NPI assigned
Jan 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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.0007085 CO Primary

Addresses

Primary practice location

1047 N Lincoln Ave
Loveland, CO 80537-4844

Mailing address

5155 Cherrywood LN
Johnstown, CO 80534-2837
Phone (970) 667-4062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422001468 CO Practitioner - Chiropractic 9739311978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Family Health & Chiropractic, LLC Chiropractor CurrentSince Feb 11, 2014 Accepting new patients

Locations

1732 Topaz Dr
Loveland, CO 80537
Phone (970) 667-4062

1047 N Lincoln Ave
Loveland, CO 80537
Phone (970) 667-3393

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1134542574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 CHERRYWOOD LN",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342837",
            "telephone_number": "970-667-4062",
            "fax_number": "970-667-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 N LINCOLN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805374844",
            "telephone_number": "970-667-4062",
            "fax_number": "970-667-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEITZER",
        "first_name": "KELLEN",
        "middle_name": "PARK",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.