Individual provider Active NPI

Jason Ryan Naquin, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1245770767
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007578 Issued in CO
Practice address
4740 Flintridge Dr Ste 130
Colorado Springs, CO 80918
Phone
(719) 917-1000
Fax
(719) 667-1971
NPI assigned
Mar 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007578 CO Primary
Chiropractor 111N00000X CH11892 FL

Addresses

Primary practice location

4740 Flintridge Dr Ste 130
Colorado Springs, CO 80918

Mailing address

4740 Flintridge Dr Ste 130
Colorado Springs, CO 80918-4273
Phone (719) 917-1000

Other practice location 1

4617 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2937
Phone (904) 806-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007578COMDChiropractor
CH11892FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1245770767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184273",
            "telephone_number": "719-917-1000",
            "fax_number": "719-667-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-917-1000",
            "fax_number": "719-667-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809182937",
            "country_code": "US",
            "telephone_number": "904-806-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAQUIN",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007578",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11892",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.