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.
- Title
- President
- Phone
- (719) 531-7188
Corporate family (same tax ID) 1
Practitioners 3
-
Randy Russell Knoche, D.C.
-
James A Pulciani, A.P., C.M.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
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
{
"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
- Springhealth Behavioral Health and Integrated Care Colorado, LLC
- Springhealth Behavioral Health and Integrated Care Colorado, LLC
- Springs Anesthesia PC
- Springs Behavioral Health LLC
- Springs Chiropractic Health, Inc.
- Springs Chiropractic, PC
- Springs Community Acupuncture
- Springs Counseling Center
- Springs Dental Care PDC PLLC
- Springs Dentistry, PLLC
All providers in Colorado Springs, CO · Chiropractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.