Michael Pustilnik, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4753 Issued in CO

Practice address

120 N 2ND Ave
Ault, CO 80610

Phone

(970) 834-2888

Fax

(970) 834-2775

NPI assigned

Sep 19, 2005

Last updated

Sep 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elevation Medical, Inc.

  • General Practice Physician
  • Fort Collins, CO
  • NPI 1639549215
  NPD (past) Authorized official

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1609861335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806100249",
            "telephone_number": "970-834-2888",
            "fax_number": "970-834-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 2ND AVE",
            "city": "AULT",
            "state": "CO",
            "postal_code": "80610",
            "telephone_number": "970-834-2888",
            "fax_number": "970-834-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTILNIK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Grant, FNP
• Healing Pathways LLC
• Kari Hettinger, RDH
• Bambi Hill, LMT
• Amy L Myhre, LSW, MSW, SWC
• Sun Kissed Moments LLC
• Sunkist Moments
• Elizabeth A Warson, PHD, ATR-BC, LPC,

• Chiropractor in Ault, CO
• Providers in Ault, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.

Verify at the official NPI Registry.