Organization Active NPI

Canon Chiropractic LLC

  • Chiropractor
  • Canon City, CO
National Provider Identifier
1477986834
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6815 Issued in CO
Legal business name
CANON CHIROPRACTIC LLC
Practice address
612 Yale PL
Canon City, CO 81212-4611
Phone
(719) 275-0100
Fax
(719) 275-0110
NPI assigned
Aug 20, 2013
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Seth Tyson Oquist, D.C.NPI 1275888380
Title
Owner
Phone
(719) 469-7697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6815 CO Primary

Addresses

Primary practice location

612 Yale PL
Canon City, CO 81212-4611

Mailing address

612 Yale PL
Canon City, CO 81212-4611
Phone (719) 275-0100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1477986834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 YALE PL",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124611",
            "telephone_number": "719-275-0100",
            "fax_number": "719-275-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 YALE PL",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124611",
            "telephone_number": "719-275-0100",
            "fax_number": "719-275-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "OQUIST",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-469-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.