Core Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHR.0007486 Issued in CO

Legal business name

CORE CHIROPRACTIC LLC

Practice address

4730 Centennial Blvd
102
Colorado Springs, CO 80919-3338

Phone

(719) 258-8349

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kaile Ryan Myrick, D.C.

Title

Owner

Phone

(719) 217-7453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1407307523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 CENTENNIAL BLVD",
            "address_2": "102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193338",
            "telephone_number": "719-217-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 CENTENNIAL BLVD",
            "address_2": "102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193338",
            "telephone_number": "719-258-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "KAILE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-217-7453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "CHR.0007486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essance Sade' Cordova
• Joanna Cordova
• Joleina Cordova
• Frances Cordrey, RN
• Core Care Family Medical LLC
• Core Counseling, LLC
• Core Massage LLC
• Core Physical Therapy PC
• Core Therapy Center LLC
• Corevision Network, LLC

• Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.