Individual provider Active NPI

Ellen Kindelsperger, DC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1164013751
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007561 Issued in CO
Practice address
2829 Mapleton Ave
Boulder, CO 80301-1105
Phone
(408) 483-4935
NPI assigned
Jan 27, 2021
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007561 CO Primary
Sports Physician Chiropractor 111NS0005X 0007561 CO

Addresses

Primary practice location

2829 Mapleton Ave
Boulder, CO 80301-1105

Mailing address

2829 Mapleton Ave
Boulder, CO 80301-1105
Phone (408) 483-4935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814002148 CO Practitioner - Chiropractic 2668834227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2595 Canyon Blvd
Suite 150
Boulder, CO 80302-6470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007561COMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Lab LLC Chiropractor CurrentSince Aug 1, 2023 Accepting new patients

Locations

2595 Canyon Blvd
Ste 150
Boulder, CO 80302
Phone (262) 515-3905

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1164013751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 MAPLETON AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011105",
            "telephone_number": "408-483-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 MAPLETON AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011105",
            "telephone_number": "408-483-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDELSPERGER",
        "first_name": "ELLEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007561",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "0007561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.