Shaun Kornfeld, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12874 Issued in FL

Practice address

991 Southpark Dr Ste 200
Littleton, CO 80120-5689

Phone

(720) 912-2225

NPI assigned

Mar 5, 2019

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synapse Health Group PLLC

  dba Plasticity Brain Centers

  • Neurology Chiropractor
  • Littleton, CO
  • NPI 1144038126
  NPD Authorized official
• Plasticity Centers of Colorado LLC

  • Multi-Specialty Clinic/Center
  • Littleton, CO
  • NPI 1023627684
  Authorized official Same address or phone
• Neurotru, PLLC

  dba Plasticity Brain Centers

  • Neurology Chiropractor
  • Orlando, FL
  • NPI 1861217564
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1356809784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205689",
            "telephone_number": "720-912-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNFELD",
        "first_name": "SHAUN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04002",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Kay Konegni
• Joy Konkle, LPC, NCC
• Eileen M Konrath, M A
• Daniel W Koontz, MD
• Leah Christine Korban, RN
• Gregory A Kouyoumdjian, M.D.
• Melissa Lyn Kovacevic, DMD
• Amy Kovacs
• Regina A Kraemer, RN
• Kelsea Krager, MS, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.

Verify at the official NPI Registry.