Individual provider Active NPI

Tara Breske, DC

  • Chiropractor
  • Parker, CO
National Provider Identifier
1154726644
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007181 Issued in CO
Practice address
10161 S Parker Rd
Suite 200
Parker, CO 80134-9603
Phone
(419) 349-2884
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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.0007181 CO Primary

Addresses

Primary practice location

10161 S Parker Rd
Suite 200
Parker, CO 80134-9603

Mailing address

10161 S Parker Rd
Suite 200
Parker, CO 80134-9603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150402000391 CO Practitioner - Chiropractic 8022335090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10161 S Parker Rd
Suite 200
Parker, CO 80134-9603
Phone (303) 607-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007181COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A&Tbreskeco, LLC Chiropractor CurrentSince Jul 1, 2024 Accepting new patients

Locations

10161 S Parker Rd
Ste 200
Parker, CO 80134
Phone (303) 607-6066

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1154726644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 S PARKER RD",
            "address_2": "SUITE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 S PARKER RD",
            "address_2": "SUITE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349603",
            "telephone_number": "419-349-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESKE",
        "first_name": "TARA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.