Individual provider Active NPI

Kyle Ferguson, DC

  • Chiropractor
  • Golden, CO
National Provider Identifier
1235582032
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007463 Issued in CO
Practice address
17601 S Golden Rd
Golden, CO 80401-2666
Phone
(303) 969-0884
NPI assigned
Jul 15, 2016
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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.0007463 CO Primary

Addresses

Primary practice location

17601 S Golden Rd
Golden, CO 80401-2666

Mailing address

17601 S Golden Rd
Golden, CO 80401-2666
Phone (303) 969-0884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121003505 CO Practitioner - Chiropractic 8527597582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healing LTD Chiropractor CurrentSince Dec 16, 2024 Accepting new patients
Mark Wolff, DC, LLC Chiropractor Past Accepting new patients
Integrative Wellness Associates, PC Past Accepting new patients

Locations

17601 S Golden Rd
Golden, CO 80401
Phone (303) 278-4600

17601 S Golden Rd
Ste B
Golden, CO 80401
Phone (303) 969-0884

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1235582032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 S GOLDEN RD",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012666",
            "telephone_number": "303-969-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 S GOLDEN RD",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012666",
            "telephone_number": "303-969-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KYLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.