Organization Active NPI

Dazal, PC

  • 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
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
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • 100 Percent A Chiropractic Wellness Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2015.

{
    "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.