Active NPI
Ammon Jacobson, D.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1194034314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007920
- Practice address
- 1825 Main St Ste C
Colorado Springs, CO 80911 - Phone
- (719) 390-5404
- NPI assigned
- Oct 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0007920 | CO | Primary |
Addresses
Primary practice location
1825 Main St Ste C
Colorado Springs, CO 80911
Mailing address
1825 Main St Ste C
Colorado Springs, CO 80911-1100
Phone (719) 390-5404
Other practice location 1
509 E Saint Charles Rd
Villa Park, IL 60181-2408
Phone (630) 782-6279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1825 Main St
Suite C
Colorado Springs, CO 80911-1100
Phone (719) 390-5404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance LTD | Chiropractor | Current | Accepting new patients |
Locations
1825 Main St
Ste C
Colorado Springs, CO 80911
Phone (719) 390-5008
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.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1174180103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1194034314",
"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"
},
{
"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": "80911",
"telephone_number": "719-390-5404"
}
],
"practiceLocations": [
{
"address_1": "509 E Saint Charles Rd",
"address_purpose": "LOCATION",
"city": "Villa Park",
"state": "IL",
"postal_code": "601812408",
"country_code": "US",
"telephone_number": "630-782-6279",
"fax_number": "630-782-6281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "AMMON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-05",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0007920",
"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 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.
- 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.