Active Wellness Chiropractic Co

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6320 Issued in CO

Legal business name

ACTIVE WELLNESS CHIROPRACTIC CO

Practice address

3455 Briargate Blvd
Suite 104
Colorado Springs, CO 80920-4100

Phone

(719) 260-1010

Fax

(719) 260-6537

NPI assigned

Apr 30, 2009

Last updated

Apr 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Candice Lynn Huffman, D.C.NPI 1649437146

Title

Chiropractor/Owner

Phone

(719) 260-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Candice Lynn Huffman, DC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1649437146
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1477797702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 BRIARGATE BLVD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204100",
            "telephone_number": "719-260-1010",
            "fax_number": "719-260-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 BRIARGATE BLVD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204100",
            "telephone_number": "719-260-1010",
            "fax_number": "719-260-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE WELLNESS CHIROPRACTIC CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "719-260-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Action Potential RLLP (Action Potential)
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• Active Physical Therapy Wellness Center
• Actualize Behavioral Health LLC
• Acupuncture and Chinese Medicine Inc (Chinese Acupuncture Clinic)
• Jordan Ada
• Diana Vaun Adair, LMT, CNMT
• Alexis Adame

• Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.