Organization Active NPI

Elevation Chiropractic Dr Michael Colpitts DC Inc

  • Chiropractor
  • Truckee, CA
National Provider Identifier
1558716175
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33532 Issued in CA
Legal business name
ELEVATION CHIROPRACTIC DR MICHAEL COLPITTS DC INC
Practice address
11425 Donner Pass Road
Suite 12a
Truckee, CA 96161
Phone
(530) 214-7020
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Michael Colpitts, D.C.NPI 1003959123
Title
President
Phone
(530) 214-7020

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 33532 CA Primary

Addresses

Primary practice location

11425 Donner Pass Road
Suite 12a
Truckee, CA 96161

Mailing address

P.O. Box 8370
Truckee, CA 96162
Phone (530) 214-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161005001855 CA Part B Supplier - Clinic/Group Practice 6305134438 Receives reassigned benefits from 1 practitioner
Practice locations: Truckee, CA

National Provider Directory

National Provider Directory

Locations

11425 Donner Pass Rd
#12A
Truckee, CA 96161
Phone (530) 214-7020

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1558716175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8370",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96162",
            "telephone_number": "530-214-7020",
            "fax_number": "530-214-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 DONNER PASS ROAD",
            "address_2": "SUITE 12A",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96161",
            "telephone_number": "530-214-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION CHIROPRACTIC DR MICHAEL COLPITTS DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "COLPITTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-214-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.