Active NPI
Kelley Jo Watford, DC
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1184946436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6875
- Practice address
- 128 Swope Ave
Colorado Springs, CO 80909-5833 - Phone
- (719) 629-8333
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31567 | CA | |
| Chiropractor | 111N00000X | 6875 | CO | Primary |
Addresses
Primary practice location
128 Swope Ave
Colorado Springs, CO 80909-5833
Mailing address
PO Box 76204
Colorado Springs, CO 80970-6204
Phone (719) 629-8333
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6875 | CO | MD | Chiropractor |
| 31567 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1184946436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 76204",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809706204",
"telephone_number": "719-629-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 SWOPE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095833",
"telephone_number": "719-629-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATFORD",
"first_name": "KELLEY",
"middle_name": "JO",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31567",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6875",
"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 Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.