Individual provider Active NPI

Diane Lynn Elwer, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1164569778
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6017 Issued in CO
Practice address
716 W Brookside St
Colorado Springs, CO 80906-2073
Phone
(719) 475-9103
Fax
(719) 475-2225
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6017 CO Primary

Addresses

Primary practice location

716 W Brookside St
Colorado Springs, CO 80906-2073

Mailing address

716 W Brookside St
Colorado Springs, CO 80906-2073
Phone (719) 475-9103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6017COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Right Health Clinic PC Chiropractor Past Accepting new patients

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1164569778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROOKSIDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062073",
            "telephone_number": "719-475-9103",
            "fax_number": "719-475-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BROOKSIDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062073",
            "telephone_number": "719-475-9103",
            "fax_number": "719-475-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWER",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6017",
            "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 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.