Mykol Sostarich, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR0008011 Issued in CO

Practice address

606 S 4TH Ave
Brighton, CO 80601-3202

Phone

(303) 659-7140

NPI assigned

Jun 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Life Chiropractic LLCGroup PAC ID 7214365725, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balanced Life Chiropractic, LLC

  • Chiropractor
  • Brighton, CO
  • NPI 1700432069
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1326600420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S 4TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013202",
            "telephone_number": "303-659-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S 4TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013202",
            "telephone_number": "303-659-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTARICH",
        "first_name": "MYKOL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0008011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Smith
• Joseph Myles Smith, M.D.
• Sharon M Smith, PHARMD, MSHSA
• Sinda J Smith, LMT
• Jennifer Sneden, MD
• Spectrum Medical Imaging, LLC
• Jaclynn Zabel Spencer, DDS
• Sport and Spine PT, Brighton, PLLC
• Amy Sprys, O.T.R.
• Aaron Stafford, M.D.

• Chiropractor in Brighton, CO
• Providers in Brighton, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.