Individual provider Active NPI

Kelsey Latham, DC

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1417470980
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0007651 Issued in CO
Practice address
6220 S Vivian St
Littleton, CO 80127-2391
Phone
(303) 880-0792
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0007651 CO Primary

Addresses

Primary practice location

6220 S Vivian St
Littleton, CO 80127-2391

Mailing address

6220 S Vivian St
Littleton, CO 80127-2391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313002803 CO Practitioner - Chiropractic 2466792346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Modern Chiropractic and Wellness Center LLCGroup PAC ID 5395085278, 2 clinicians

Practice addresses (Care Compare)

7600 E Arapahoe Rd
Suite 211
Centennial, CO 80112-1260

7600 E Arapahoe Rd
Suite 211
Centennial, CO 80112-1262
Phone (303) 221-1714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007651COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Chiropractic and Wellness Center LLC Chiropractor CurrentSince Dec 4, 2018 Accepting new patients

Locations

6884 S University Blvd
Centennial, CO 80122
Phone (303) 220-7837

7600 E Arapahoe Rd
Ste 211
Centennial, CO 80112
Phone (303) 221-1714

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1417470980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 S VIVIAN ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801272391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 S VIVIAN ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801272391",
            "telephone_number": "303-880-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "KELSEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.