Organization Active NPI

Summit Chiropractic PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1417014879
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUMMIT CHIROPRACTIC PC
Practice address
1741 Briargate Blvd
Colorado Springs, CO 80920-3474
Phone
(719) 593-1227
NPI assigned
Jan 3, 2007
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Jeffrey Jay Keller, D.C.
Title
President
Phone
(719) 593-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CO Primary

Addresses

Primary practice location

1741 Briargate Blvd
Colorado Springs, CO 80920-3474

Mailing address

1741 Briargate Blvd
Colorado Springs, CO 80920-3474
Phone (719) 593-1227

National Provider Directory

National Provider Directory

Locations

1741 Briargate Blvd
Colorado Springs, CO 80920
Phone (719) 593-1227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1417014879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203474",
            "telephone_number": "719-593-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203474",
            "telephone_number": "719-593-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-593-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "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 May 15, 2008; 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.