Individual provider Active NPI

Mandy M Kreager, DC

  • Chiropractor
  • Windsor, CO
National Provider Identifier
1295801884
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4974 Issued in CO
Practice address
220 Main St
Unit G
Windsor, CO 80550-5046
Phone
(970) 686-0920
Fax
(970) 686-0953
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4974 CO Primary

Addresses

Primary practice location

220 Main St
Unit G
Windsor, CO 80550-5046

Mailing address

220 Main St
Unit G
Windsor, CO 80550-5046
Phone (970) 686-0920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090320000095 CO Practitioner - Chiropractic 3375535487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Kreager Chiropractic, PCGroup PAC ID 9638236532, 2 clinicians

Practice addresses (Care Compare)

220 Main St
Windsor, CO 80550-5047
Phone (970) 686-0920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kreager Chiropractic, PC Chiropractor CurrentSince Aug 1, 2000 Accepting new patients
Kreager Chiropractic, PC Chiropractor Past Accepting new patients

Locations

220 Main St
Unit G
Windsor, CO 80550
Phone (970) 686-0920

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295801884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "address_2": "UNIT G",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505046",
            "telephone_number": "970-686-0920",
            "fax_number": "970-686-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "address_2": "UNIT G",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505046",
            "telephone_number": "970-686-0920",
            "fax_number": "970-686-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREAGER",
        "first_name": "MANDY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.