Katie Bair, D.C. – Nutrition Chiropractor

Key facts

NPI: 1558057927
Entity type: Individual (NPI type 1)
Primary specialty: Nutrition Chiropractor 111NN1001X
License: 0008633 (CO)
Practice address: 1832 Woodmoor Dr Ste 100
Monument, CO 80132-9094
Phone: (719) 651-4466
NPI assigned: Apr 18, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Katie Bair DC PLLC Chiropractor · Monument, CO · NPI 1144188756

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
0008633	CO	MD	Nutrition Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Katie Bair DC PLLC		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nutrition Chiropractor	111NN1001X	0008633	CO	Yes

Addresses

Primary practice location

1832 Woodmoor Dr Ste 100
Monument, CO 80132-9094

Mailing address

1832 Woodmoor Dr Ste 100
Monument, CO 80132-9094
Phone (719) 651-4466

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2023.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1558057927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 WOODMOOR DR STE 100",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329094",
            "telephone_number": "719-651-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 WOODMOOR DR STE 100",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329094",
            "telephone_number": "719-651-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIR",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "0008633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

All providers in Monument, CO · Nutrition Chiropractor in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.