Organization Active NPI

Bahnemann Family Chiropractic, PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1417255324
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6355 Issued in CO
Legal business name
BAHNEMANN FAMILY CHIROPRACTIC, PC
Practice address
7610 N Union Blvd Ste 125
Colorado Springs, CO 80920
Phone
(719) 258-8389
Fax
(877) 577-0339
NPI assigned
Mar 2, 2011
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Kerri Michelle Bahnemann, DCNPI 1699081760
Title
Provider/President
Phone
(719) 258-8389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6355 CO Primary

Addresses

Primary practice location

7610 N Union Blvd Ste 125
Colorado Springs, CO 80920

Mailing address

5421 Hopalong TRL
Colorado Springs, CO 80922-4603
Phone (719) 258-8389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110630000296 CO Part B Supplier - Clinic/Group Practice 5698953297 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

7610 N Union Blvd
Ste 125
Colorado Springs, CO 80920
Phone (719) 258-8389

Practitioners & affiliated clinicians

Practitioners 2

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1417255324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 HOPALONG TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809224603",
            "telephone_number": "719-258-8389",
            "fax_number": "877-577-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-258-8389",
            "fax_number": "877-577-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHNEMANN FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "BAHNEMANN",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT",
        "authorized_official_telephone_number": "719-258-8389",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6355",
            "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 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.