NPIMap

Organization Active NPI

Chiropractic Assoc. of Ft Collins

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1346411386
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC ASSOC. OF FT COLLINS
Practice address
4745 Boardwalk Dr Unit C1
Fort Collins, CO 80525-3769
Phone
(970) 207-4066
Fax
(970) 225-1392
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Michael Pustilnik, DC
Title
Owner
Phone
(970) 207-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4745 Boardwalk Dr Unit C1
Fort Collins, CO 80525-3769

Mailing address

4745 Boardwalk Dr Unit C1
Fort Collins, CO 80525-3769
Phone (970) 207-4066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1346411386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR UNIT C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253769",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR UNIT C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253769",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ASSOC. OF FT COLLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "PUSTILNIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-207-4066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.