Mark A Addante, D.C., CCSP
Individual provider Active NPI Sports Physician Chiropractor · Salida, CO
NPI 1245255017 · NPPES record last updated May 2, 2016
Key facts
- NPI
- 1245255017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 5493 (CO)
- Practice address
- 504 Oak St
Unit 2
Salida, CO 81201-3252 - Phone
- (719) 539-9493
- Fax
- (719) 539-9496
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Addante Chiropractic, PC
Practice addresses (Care Compare)
504 Oak St
Unit 2
Salida, CO 81201-3261
Phone (719) 539-9493
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111116000712 | CO | Practitioner - Chiropractic | 9537067814 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5493 | CO | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addante Chiropractic, PC | Sports Physician | Current |
Accepting new patients |
Locations
504 Oak St
Unit 2
Salida, CO 81201
Phone (719) 539-9493
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5493 | CO | Yes |
Addresses
Primary practice location
504 Oak St
Unit 2
Salida, CO 81201-3252
Mailing address
504 Oak St
Unit 2
Salida, CO 81201-3252
Phone (719) 539-9493
Other providers in Salida, CO
- Denise Ackert
- Alan W Adams
- Adapthealth West, LLC
- Addante Chiropractic, PC
- Julie A Addante
- Adrienne Marks PHD P.C.
- Advanced Chiropractic, P.C.
- Advanced Imaging Diagnostics, PLLC
- Aerocare Holdings, Inc
- Carol Ahuna
All providers in Salida, CO · Sports Physician Chiropractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.