Individual provider Active NPI

Steven Claude Visentin, DC

  • Chiropractor
  • Denver, CO
National Provider Identifier
1477614816
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1840 Issued in CO
Practice address
1411 Krameria St
Denver, CO 80220-2731
Phone
(303) 394-2273
Fax
(303) 394-2102
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1840 CO Primary

Addresses

Primary practice location

1411 Krameria St
Denver, CO 80220-2731

Mailing address

1411 Krameria St
Denver, CO 80220-2731
Phone (303) 394-2273

Other identifiers 1

IdentifierTypeStateIssuer
08018400MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000027 CO Practitioner - Chiropractic 2769415462 Practice locations: Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1411 Krameria St
Denver, CO 80220-2731
Phone (303) 394-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1840COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1477614816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 KRAMERIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202731",
            "telephone_number": "303-394-2273",
            "fax_number": "303-394-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 KRAMERIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202731",
            "telephone_number": "303-394-2273",
            "fax_number": "303-394-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISENTIN",
        "first_name": "STEVEN",
        "middle_name": "CLAUDE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08018400",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.