Organization Active NPI

Springs Spine & Rehabilitation LLC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1407620610
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPRINGS SPINE & REHABILITATION LLC
Practice address
1935 Dominion Way Ste 102
Colorado Springs, CO 80918-1464
Phone
(719) 623-5648
Fax
(877) 479-7428
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Angel Wilson
Title
Billing Manager
Phone
(877) 479-7428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1935 Dominion Way Ste 102
Colorado Springs, CO 80918-1464

Mailing address

1935 Dominion Way Ste 102
Colorado Springs, CO 80918-1464
Phone (719) 623-5648

National Provider Directory

National Provider Directory

Locations

1935 Dominion Way
Ste 102
Colorado Springs, CO 80918
Phone (719) 380-7210

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1407620610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 DOMINION WAY STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181464",
            "telephone_number": "719-623-5648",
            "fax_number": "877-479-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 DOMINION WAY STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181464",
            "telephone_number": "719-623-5648",
            "fax_number": "877-479-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS SPINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "877-479-7428"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.