Teller County Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5875 Issued in CO

Legal business name

TELLER COUNTY CHIROPRACTIC

Practice address

800 E US Highway 24
Suite D
Woodland Park, CO 80863-7754

Phone

(719) 687-1881

Fax

(719) 687-9408

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher L. Mirabella, D.C.NPI 1174575534

Title

Owner/Managing Member

Phone

(719) 687-1881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher L. Mirabella, D.C.

  • Chiropractor
  • Woodland Park, CO
  • NPI 1174575534
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1144256264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E US HIGHWAY 24",
            "address_2": "SUITE D",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637754",
            "telephone_number": "719-687-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E US HIGHWAY 24",
            "address_2": "SUITE D",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637754",
            "telephone_number": "719-687-1881",
            "fax_number": "719-687-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLER COUNTY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MIRABELLA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "719-687-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.