NPIMap

Organization Active NPI

Dazal, PC

Doing business as 100 Percent A Chiropractic Wellness Center

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1306037544
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAZAL, PC
Doing business as
100 Percent A Chiropractic Wellness Center
Practice address
213 E Cache la Poudre St
Colorado Springs, CO 80903-2958
Phone
(719) 667-1007
Fax
(719) 630-7683
NPI assigned
Aug 5, 2007
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. Angela Dee Price Kloss, D.C.NPI 1245368752
Title
Managing Member
Phone
(719) 667-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

213 E Cache la Poudre St
Colorado Springs, CO 80903-2958

Mailing address

213 E Cache la Poudre St
Colorado Springs, CO 80903-2958
Phone (719) 667-1007

Other names 1

  • 100 Percent A Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160907000938 CO Part B Supplier - Clinic/Group Practice 1951697689 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

213 E Cache La Poudre St
#100
Colorado Springs, CO 80903
Phone (719) 667-1007

213 E Cache La Poudre St
Ste A
Colorado Springs, CO 80903

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1306037544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E CACHE LA POUDRE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032958",
            "telephone_number": "719-667-1007",
            "fax_number": "719-630-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E CACHE LA POUDRE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032958",
            "telephone_number": "719-667-1007",
            "fax_number": "719-630-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "PRICE KLOSS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "719-667-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "100 Percent A Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.