Revival Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVIVAL CHIROPRACTIC

Doing business as

Revival Chiropractic

Practice address

8670 Wolff CT Ste 165
Westminster, CO 80031-6969

Phone

(262) 492-2269

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kamryn Sholly, DCNPI 1043891302

Title

Owner

Phone

(262) 492-2269

Specialties & licenses 1

Addresses

Other names 1

• Revival Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamryn Sholly, DC

  • Chiropractor
  • Westminster, CO
  • NPI 1043891302
  NPD Authorized official

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1356223465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 WOLFF CT STE 165",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316969",
            "telephone_number": "262-492-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WOLFF CT STE 165",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316969",
            "telephone_number": "262-492-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "SHOLLY",
        "authorized_official_first_name": "KAMRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-492-2269",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revival Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.