Individual provider Active NPI

Brittany Haupt, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1477930279
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557459 Issued in VA
Practice address
9240 Explorer Dr
Suite 215
Colorado Springs, CO 80920-5003
Phone
(719) 473-7000
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557459 VA Primary
Chiropractor 111N00000X CHR.0007286 CO

Addresses

Primary practice location

9240 Explorer Dr
Suite 215
Colorado Springs, CO 80920-5003

Mailing address

7439 Linton Hall Rd
Gainesville, VA 20155-2977
Phone (703) 753-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180418000569 VA Practitioner - Chiropractic 0840510558 Reassigns benefits to 1 organization
I20190620000883 MI Practitioner - Chiropractic 0840510558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Effect Chiropractic PLLCGroup PAC ID 0547593394, 2 clinicians

Practice addresses (Care Compare)

203 E Midland St
Bay City, MI 48706-4631
Phone (989) 686-6808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007286COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Effect Chiropractic, PLLC Chiropractor CurrentSince Apr 26, 2019 Accepting new patients
Gateway Chiropractic Incorporated Chiropractor CurrentSince Mar 1, 2018 Accepting new patients

Locations

203 E Midland St
Bay City, MI 48706
Phone (989) 684-0873

7439 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 753-8080

Organizations & group practices 2

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1477930279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 LINTON HALL RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552977",
            "telephone_number": "703-753-8080",
            "fax_number": "703-753-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 EXPLORER DR",
            "address_2": "SUITE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205003",
            "telephone_number": "719-473-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPT",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557459",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007286",
            "primary": false
        }
    ],
    "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 Mar 12, 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.