Organization Active NPI

Peak Performance LTD

Doing business as Smith Chiropractic

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1174180103
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEAK PERFORMANCE LTD
Doing business as
Smith Chiropractic
Practice address
1825 Main St Ste C
Colorado Springs, CO 80911-1100
Phone
(719) 390-5404
NPI assigned
May 24, 2019
Last updated
Feb 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Dr. Ammon Jacobson, DCNPI 1194034314
Title
President/Owner
Phone
(801) 380-8463

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1825 Main St Ste C
Colorado Springs, CO 80911-1100

Mailing address

1825 Main St Ste C
Colorado Springs, CO 80911-1100
Phone (719) 390-5404

Other names 1

  • Smith Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190819003625 CO Part B Supplier - Clinic/Group Practice 5193053890 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1174180103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MAIN ST STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111100",
            "telephone_number": "719-390-5404",
            "fax_number": "719-390-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MAIN ST STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111100",
            "telephone_number": "719-390-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "AMMON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-380-8463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 2020; 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.