Active NPI
Charlotte Harris
- Chiropractor
- Highlands Ranch, CO
National Provider Identifier
1134712888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8289
- Practice address
- 9427 S University Blvd
Highlands Ranch, CO 80126-4976 - Phone
- (303) 779-7933
- NPI assigned
- Feb 13, 2021
- Last updated
- May 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8289 | CO | Primary |
Addresses
Primary practice location
9427 S University Blvd
Highlands Ranch, CO 80126-4976
Mailing address
3910 S Carefree Cir Ste a
Colorado Springs, CO 80917-3053
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8289 | CO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idad LLC | Chiropractor | Current | Accepting new patients |
Locations
9427 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 779-7933
Interoperability endpoints
- charlotte.harris.2@29676.direct.athenahealth.com
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, 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": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1134712888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 S CAREFREE CIR STE A",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809173053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9427 S UNIVERSITY BLVD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801264976",
"telephone_number": "303-779-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-13",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "8289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.