Active NPI
Jason Ryan Naquin, D.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1245770767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007578
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007578 | CO | MD | Chiropractor |
| CH11892 | FL | MD | Chiropractor |
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.