Advanced Spinal Rehabilitation of Pueblo, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3506 Issued in CO

Legal business name

ADVANCED SPINAL REHABILITATION OF PUEBLO, P.C.

Practice address

202 W. 21RST Street
Colorado Springs, CO 81003

Phone

(719) 296-8293

Fax

(719) 296-8296

NPI assigned

Sep 11, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Scott Warner, D.C.

Title

President

Phone

(719) 296-8293

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1255435434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W. 21 STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-296-8293",
            "fax_number": "719-296-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W. 21RST STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-296-8293",
            "fax_number": "719-296-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL REHABILITATION OF PUEBLO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-296-8293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.