Springs Chiropractic, P.C.

Organization Active NPI Chiropractor · Colorado Springs, CO

NPI 1376713487 · NPPES record last updated Mar 4, 2008

Key facts

NPI
1376713487
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
2567 (CO)
Legal business name
SPRINGS CHIROPRACTIC, P.C.
Practice address
1802 Chapel Hills Dr
Suite E
Colorado Springs, CO 80920-3765
Phone
(719) 531-7188
Fax
(719) 531-0880
NPI assigned
Mar 4, 2008
Organization subpart
No

Authorized official

Name
Dr. Randy R. Knoche, D.C. NPI 1255330270
Title
President
Phone
(719) 531-7188

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050520001048 CO Part B Supplier - Clinic/Group Practice 1951342781 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

Tax ID family
Springs Chiropractic PC (2 organizations share this tax ID)

Locations

1802 Chapel Hills Dr
Ste E
Colorado Springs, CO 80920
Phone (719) 531-7188

1220 Lake Plaza Dr
Ste B
Colorado Springs, CO 80906
Phone (719) 527-6747

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 2567 CO Yes

Addresses

Primary practice location

1802 Chapel Hills Dr
Suite E
Colorado Springs, CO 80920-3765

Mailing address

1802 Chapel Hills Dr
Suite E
Colorado Springs, CO 80920-3765
Phone (719) 531-7188

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2008.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1376713487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CHAPEL HILLS DR",
            "address_2": "SUITE E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203765",
            "telephone_number": "719-531-7188",
            "fax_number": "719-531-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CHAPEL HILLS DR",
            "address_2": "SUITE E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203765",
            "telephone_number": "719-531-7188",
            "fax_number": "719-531-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "KNOCHE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-531-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Chiropractor in Colorado

Sources for this page

Verify at the official NPI Registry.