Active NPI
Kelli S. Mason, DC
- Chiropractor
- Montrose, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0008024
- Practice address
- 1541 Ogden Rd
Montrose, CO 81401-5683 - Phone
- (970) 252-0378
- NPI assigned
- Aug 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1028 | NE | |
| Chiropractor | 111N00000X | 0008024 | CO | Primary |
| Chiropractor | 111N00000X | 2438 | SC |
Addresses
Primary practice location
1541 Ogden Rd
Montrose, CO 81401-5683
Mailing address
1807 4TH Corso
Suite 4
Nebraska City, NE 68410-2679
Phone (402) 874-9044
Other practice location 1
1807 4th Corso
Suite 4
Nebraska City, NE 68410-2679
Phone (402) 874-9044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8404 | Other | SC | GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190816001790 | CO | Practitioner - Chiropractic | 4981518354 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Atlas Chiropractic Montrose LLC
Practice addresses (Care Compare)
1541 Ogden Rd
Montrose, CO 81401-5683
Phone (970) 252-0378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Clinic of Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Atlas Chiropractic Montrose LLC | Chiropractor | Current | Accepting new patients |
| The Wellness Place | Chiropractor | Past | Accepting new patients |
Locations
1541 Ogden Rd
Montrose, CO 81401
Phone (970) 252-0378
1807 4th Corso
Ste 4
Nebraska City, NE 68410
Phone (402) 874-9044
Organizations & group practices 3
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
- Montrose, CO
- NPI 1700445087
-
- Chiropractor
- Montrose, CO
- NPI 1871865998
-
- Chiropractor
- Inman, SC
- NPI 1225061328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1205828845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 4TH CORSO",
"address_2": "SUITE 4",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684102679",
"telephone_number": "402-874-9044",
"fax_number": "844-270-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 OGDEN RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015683",
"telephone_number": "970-252-0378"
}
],
"practiceLocations": [
{
"address_1": "1807 4th Corso",
"address_2": "Suite 4",
"address_purpose": "LOCATION",
"city": "Nebraska City",
"state": "NE",
"postal_code": "684102679",
"country_code": "US",
"telephone_number": "402-874-9044",
"fax_number": "844-270-5928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "KELLI",
"middle_name": "S.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1028",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "0008024",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2438",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PIN",
"identifier": "8404",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.