Individual provider Active NPI

Terri L Gates, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1245364421
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5380 Issued in CO
Practice address
1271 Kelly Johnson Blvd
Ste 250
Colorado Springs, CO 80920-3972
Phone
(719) 266-6661
Fax
(719) 266-6641
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5380 CO Primary

Addresses

Primary practice location

1271 Kelly Johnson Blvd
Ste 250
Colorado Springs, CO 80920-3972

Mailing address

1271 Kelly Johnson Blvd
Ste 250
Colorado Springs, CO 80920-3951
Phone (719) 266-6661

Other identifiers 1

IdentifierTypeStateIssuer
3932839OtherCOAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302001268 CO Practitioner - Chiropractic 8527953629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1271 Kelly Johnson Blvd
Suite 250
Colorado Springs, CO 80920-3972
Phone (719) 266-6661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5380COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gates Chiropractic PC Chiropractor CurrentSince Apr 1, 2003 Accepting new patients
Yuhasz Chiropractic PC Chiropractor PastSince Apr 1, 2003 Accepting new patients

Locations

1271 Kelly Johnson Blvd
Ste 250
Colorado Springs, CO 80920
Phone (719) 266-6661

1271 Kelly Johnson Blvd
Ste 50
Colorado Springs, CO 80920
Phone (719) 266-6661

Organizations & group practices 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1245364421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 KELLY JOHNSON BLVD",
            "address_2": "STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203951",
            "telephone_number": "719-266-6661",
            "fax_number": "719-266-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 KELLY JOHNSON BLVD",
            "address_2": "STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203972",
            "telephone_number": "719-266-6661",
            "fax_number": "719-266-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "TERRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3932839",
            "state": "CO"
        }
    ],
    "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 Nov 23, 2015; 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.