Active NPI
Tiffany Lynn Graham, D.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1578859997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0006927
- Practice address
- 1465 Kelly Johnson Blvd Ste 110
Colorado Springs, CO 80920-3945 - Phone
- (719) 445-6077
- Fax
- (719) 323-6242
- NPI assigned
- Jun 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0006927 | CO | Primary |
Addresses
Primary practice location
1465 Kelly Johnson Blvd Ste 110
Colorado Springs, CO 80920-3945
Mailing address
1465 Kelly Johnson Blvd Ste 110
Colorado Springs, CO 80920-3945
Phone (719) 445-6077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5191 S Yosemite St
Suite B
Greenwood Village, CO 80111-3360
Phone (303) 577-9977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006927 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Health Inc | Chiropractor | Current | Accepting new patients |
Locations
5191 S Yosemite St
Ste B
Greenwood Village, CO 80111
Phone (303) 399-3315
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1578859997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD STE 110",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203945",
"telephone_number": "719-445-6077",
"fax_number": "719-323-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD STE 110",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203945",
"telephone_number": "719-445-6077",
"fax_number": "719-323-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TIFFANY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "0006927",
"primary": true
}
],
"identifiers": [],
"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 Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.