Active NPI
Colorado Injury & Wellness
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1336993013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COLORADO INJURY & WELLNESS
- Practice address
- 1819 W Colorado Ave
Colorado Springs, CO 80904-3836 - Phone
- (719) 471-4174
- Fax
- (719) 633-2198
- NPI assigned
- Apr 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Austin Frederick Clarke, DC
- Title
- Doctor
- Phone
- (719) 471-4174
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1819 W Colorado Ave
Colorado Springs, CO 80904-3836
Mailing address
1819 W Colorado Ave
Colorado Springs, CO 80904-3836
Phone (719) 471-4174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1819 W Colorado Ave
Colorado Springs, CO 80904
Phone (719) 471-4174
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1689243552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1336993013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 W COLORADO AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043836",
"telephone_number": "719-471-4174",
"fax_number": "719-633-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W COLORADO AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043836",
"telephone_number": "719-471-4174",
"fax_number": "719-633-2198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO INJURY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "AUSTIN",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "719-471-4174",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 21, 2024; 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.