Individual provider Active NPI

David Keith Powell, D.C.

  • Sports Physician Chiropractor
  • Woodland Park, CO
National Provider Identifier
1144331919
Registry record updated Feb 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2946 Issued in CO
Practice address
490 Rampart Range Rd
Woodland Park, CO 80863-2429
Phone
(719) 687-6096
Fax
(719) 687-9623
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2008

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 2946 CO Primary

Addresses

Primary practice location

490 Rampart Range Rd
Woodland Park, CO 80863-2429

Mailing address

PO Box 5176
Woodland Park, CO 80866-5176
Phone (719) 687-6096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000027 CO Practitioner - Chiropractic 3678602612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

490 Rampart Range Rd
Woodland Park, CO 80863-2429
Phone (719) 687-6096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2946COMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Chiropractic Inc. CurrentSince Mar 5, 2010 Accepting new patients
A New Step Foot & Ankle Clinics Past Accepting new patients

Locations

490 Rampart Range Rd
Woodland Park, CO 80863
Phone (719) 687-6096

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203206400000",
    "number": "1144331919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5176",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808665176",
            "telephone_number": "719-687-6096",
            "fax_number": "719-687-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 RAMPART RANGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632429",
            "telephone_number": "719-687-6096",
            "fax_number": "719-687-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "2946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.