Organization Active NPI

Sunrise Chiropractic Center P.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1154558138
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4536 Issued in CO
Legal business name
SUNRISE CHIROPRACTIC CENTER P.C.
Practice address
7608 N Union Blvd
Suite G
Colorado Springs, CO 80920-3886
Phone
(719) 598-8288
Fax
(719) 260-9899
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Gwen Schiller, D.C.NPI 1548297427
Title
Chiropractor
Phone
(719) 598-8288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4536 CO Primary

Addresses

Primary practice location

7608 N Union Blvd
Suite G
Colorado Springs, CO 80920-3886

Mailing address

7608 N Union Blvd
Suite G
Colorado Springs, CO 80920-3886
Phone (719) 598-8288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000215 CO Part B Supplier - Clinic/Group Practice 8921151275 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

7610 N Union Blvd
Ste 125
Colorado Springs, CO 80920
Phone (719) 258-8389

7608 N Union Blvd
Ste G
Colorado Springs, CO 80920
Phone (719) 598-8288

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1154558138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 N UNION BLVD",
            "address_2": "SUITE G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203886",
            "telephone_number": "719-598-8288",
            "fax_number": "719-260-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 N UNION BLVD",
            "address_2": "SUITE G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203886",
            "telephone_number": "719-598-8288",
            "fax_number": "719-260-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "719-598-8288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.