Diane Chisesi, NFS. MD. PHD.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

218974772UA Issued in CO

Practice address

2517 B. King Street
Colorado Springs, CO 80904

Phone

(719) 477-0295

Fax

(719) 477-0295

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Prof. Uscmdr Diane Chisesi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1508291956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6936",
            "address_2": "2517 B. KING STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "719-477-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 B. KING STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "719-477-0295",
            "fax_number": "719-477-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISESI",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "NFS. MD. PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "218974772",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "218974772",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Forensic Pathology",
            "state": "CO",
            "license": "218974772",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CO",
            "license": "218974772",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "CO",
            "license": "218974772",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "218974772UA",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CO",
            "license": "218974772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHP/HSSA/DSS",
            "identifier": "218974772",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "USCMDR DIANE",
            "last_name": "CHISESI",
            "prefix": "PROF.",
            "credential": "CEO, MD. PHD.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chiro Den Opco Co I
• Chiropractic First Inc
• Chiropractic Solutions, Inc. Dba Vibrant Health & Wellness Center
• Chiropractic Truhealthdr
• Chiroworks LLC
• Roxanne Gail Chisesi
• Derek A Chisholm, LPN
• Marjorie Kate Chisholm, LCSW
• Joanna L Chism
• Christina L Chismar, LCSW

• Surgery Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.