Sopris Chiropractic PC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

SOPRIS CHIROPRACTIC PC

Practice address

711 E Valley Rd
Ste, 202a
Basalt, CO 81621-8370

Phone

(970) 927-9204

Fax

(970) 927-9238

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott J. Tesoro, D.C.NPI 1225149495

Title

Owner

Phone

(970) 927-9204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott J. Tesoro, D.C.

  • Sports Physician Chiropractor
  • Basalt, CO
  • NPI 1225149495
  Medicare reassignment NPD Authorized official
• Natalie Rae Ahner, DC

  • Chiropractor
  • Carbondale, CO
  • NPI 1417824087
  Medicare reassignment NPD
• Ashley Elizabeth Kauffman, D.C.

  • Chiropractor
  • Rapid City, SD
  • NPI 1427337310
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487867073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E VALLEY RD",
            "address_2": "STE, 202A",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218370",
            "telephone_number": "970-927-9204",
            "fax_number": "970-927-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E VALLEY RD",
            "address_2": "STE, 202A",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218370",
            "telephone_number": "970-927-9204",
            "fax_number": "970-927-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPRIS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TESORO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-927-9204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason D Slaver, DC
• Jenna Smith
• Karen Lajoy Smith, L.P.C.
• Sodawellness
• Grace Song, P.A.
• Sopris Medical Practice, P.C.
• Sopris Rehabilitation Services
• Jillian Standley, MA, LPCC
• Steadman Clinic Professional LLC
• Karen Chrisholm Stevenson, PHYSICAL THERAPIST

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Basalt, CO
• Providers in Basalt, CO by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.