Individual provider Active NPI

Cort J Musolf, CHIROPRACTOR

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1215683099
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008490 Issued in CO
Practice address
210 Ken Pratt Blvd Ste 245
Longmont, CO 80501-8600
Phone
(616) 401-4136
NPI assigned
Mar 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008490 CO Primary

Addresses

Primary practice location

210 Ken Pratt Blvd Ste 245
Longmont, CO 80501-8600

Mailing address

745 S Lafayette Dr Unit E235
Lafayette, CO 80026-3584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929000891 MI Practitioner - Chiropractic 7113371832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooted Chiropractic PCGroup PAC ID 0345646683, 2 clinicians

Practice addresses (Care Compare)

107 W Grand River Ave
Howell, MI 48843-2236
Phone (517) 518-8963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008490COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Chiropractic PC Chiropractor CurrentSince Sep 16, 2024 Accepting new patients
Lakeshore Family Chiropractic, PLC CurrentSince Sep 1, 2023 Accepting new patients
Storm Chiropractic, Inc Chiropractor CurrentSince Sep 16, 2024 Accepting new patients
Big Rapids Chiropractic, PLC Chiropractor PastSince Sep 1, 2023 Accepting new patients

Locations

258 James St
Ste 10
Holland, MI 49424
Phone (616) 396-6635

107 W Grand River Ave
Howell, MI 48843
Phone (517) 381-1880

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1215683099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S LAFAYETTE DR UNIT E235",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 KEN PRATT BLVD STE 245",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018600",
            "telephone_number": "616-401-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSOLF",
        "first_name": "CORT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.

Verify at the official NPI Registry.