Kent Daavettila, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007867 Issued in CO

Practice address

3586 Hartsel Dr Ste 12E
Colorado Springs, CO 80920-2112

Phone

(719) 627-3846

NPI assigned

Sep 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Etio LLCGroup PAC ID 6901157494, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Etio LLC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1205318284
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1396227377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 HARTSEL DR STE 12E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202112",
            "telephone_number": "719-627-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 HARTSEL DR STE 12E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202112",
            "telephone_number": "719-627-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAAVETTILA",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emika Da Silva, DPT
• Andrew Dabasinskas
• Azehria Dabis Loy
• Jennifer L Dabros, PHD, LPC
• Cheyenne Michelle Mahealani Dacalio
• Genna N Dacanay, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.