Organization Active NPI

Still Point Medical Clinic, Inc.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Colorado Springs, CO
National Provider Identifier
1184800757
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
31196 Issued in CO
Legal business name
STILL POINT MEDICAL CLINIC, INC.
Practice address
1430 S. 21St Street
Suite 100
Colorado Springs, CO 80904-4279
Phone
(719) 385-0600
Fax
(719) 385-0601
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Adrienne Marie Kania, DO
Title
President/Owner
Phone
(719) 385-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 31196 CO Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CO

Addresses

Primary practice location

1430 S. 21St Street
Suite 100
Colorado Springs, CO 80904-4279

Mailing address

1430 S. 21St Street
Suite 100
Colorado Springs, CO 80904-4279
Phone (719) 385-0600

Other identifiers 1

IdentifierTypeStateIssuer
01311968MedicaidCO

National Provider Directory

National Provider Directory

Locations

1430 S 21st St
Ste 100
Colorado Springs, CO 80904
Phone (719) 385-0600

1430 S 21st St
Colorado Springs, CO 80904
Phone (719) 633-1817

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1184800757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S. 21ST STREET",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044279",
            "telephone_number": "719-385-0600",
            "fax_number": "719-385-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S. 21ST STREET",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044279",
            "telephone_number": "719-385-0600",
            "fax_number": "719-385-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL POINT MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "KANIA",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "719-385-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "31196",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01311968",
            "state": "CO"
        }
    ],
    "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 Aug 4, 2009; 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.