Individual provider Active NPI

Rees Daniel Kopecky, DC

  • Chiropractor
  • Glenwood Springs, CO
National Provider Identifier
1285371682
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0008514 Issued in CO
Practice address
51241 Highway 6 Ste 8B
Glenwood Springs, CO 81601-2588
Phone
(970) 456-4562
NPI assigned
May 17, 2022
Last updated
May 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0008514 CO Primary

Addresses

Primary practice location

51241 Highway 6 Ste 8B
Glenwood Springs, CO 81601-2588

Mailing address

51241 Highway 6 Ste 8B
Glenwood Springs, CO 81601-2588
Phone (970) 456-4562

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008514COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trailhead Chiropractic PLLC Chiropractor CurrentSince May 22, 2022 Accepting new patients

Locations

51241 Highway 6
Ste 8B
Glenwood Springs, CO 81601
Phone (970) 456-4562

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1285371682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51241 HIGHWAY 6 STE 8B",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816012588",
            "telephone_number": "970-456-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51241 HIGHWAY 6 STE 8B",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816012588",
            "telephone_number": "970-456-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPECKY",
        "first_name": "REES",
        "middle_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.