Organization Active NPI

Raitz Chiropractic, P.C.

  • Neurology Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1558404707
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
5478 Issued in CO
Legal business name
RAITZ CHIROPRACTIC, P.C.
Practice address
5527 N Union Blvd
Suite 103
Colorado Springs, CO 80918-6980
Phone
(970) 290-1049
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Byron Jay Raitz, D.C.NPI 1619010808
Title
President
Phone
(970) 290-1049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 5478 CO Primary

Addresses

Primary practice location

5527 N Union Blvd
Suite 103
Colorado Springs, CO 80918-6980

Mailing address

5527 N Union Blvd
Suite 103
Colorado Springs, CO 80918-6980
Phone (970) 290-1049

Other identifiers 1

IdentifierTypeStateIssuer
660651OtherCOACN GROUP

National Provider Directory

National Provider Directory

Locations

5527 N Union Blvd
Ste 103
Colorado Springs, CO 80918
Phone (970) 290-1049

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1558404707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 N UNION BLVD",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186980",
            "telephone_number": "970-290-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 N UNION BLVD",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186980",
            "telephone_number": "970-290-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAITZ CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "RAITZ",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-290-1049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CO",
            "license": "5478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "660651",
            "state": "CO"
        }
    ],
    "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 27, 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.