Individual provider Active NPI

Christopher Evan Eddy, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1346609104
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007372 Issued in CO
Practice address
2155 Hollow Brook Drive
Suite 70
Colorado Springs, CO 80918-1455
Phone
(719) 445-0806
Fax
(719) 445-0998
NPI assigned
Feb 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007372 CO Primary
Chiropractor 111N00000X EL.2786470 CO

Addresses

Primary practice location

2155 Hollow Brook Drive
Suite 70
Colorado Springs, CO 80918-1455

Mailing address

2155 Hollow Brook Drive
Suite 70
Colorado Springs, CO 80918-1455
Phone (719) 445-0806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007372COMDChiropractor
EL.2786470COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1346609104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DRIVE",
            "address_2": "SUITE 70",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181455",
            "telephone_number": "719-445-0806",
            "fax_number": "719-445-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DRIVE",
            "address_2": "SUITE 70",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181455",
            "telephone_number": "719-445-0806",
            "fax_number": "719-445-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "CHRISTOPHER",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007372",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "EL.2786470",
            "primary": false
        }
    ],
    "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 Feb 22, 2016; 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.