NPIMap

Organization Active NPI

Advanced Chiropractic, Inc.

  • Chiropractor
  • Steamboat Springs, CO
National Provider Identifier
1629228283
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6106 Issued in CO
Legal business name
ADVANCED CHIROPRACTIC, INC.
Practice address
1755 Central Park Drive
#130
Steamboat Springs, CO 80487
Phone
(970) 871-4644
NPI assigned
Sep 19, 2008
Last updated
Sep 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Dr. Kristin Marie Kidgell, DC
Title
Owner
Phone
(970) 871-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6106 CO Primary

Addresses

Primary practice location

1755 Central Park Drive
#130
Steamboat Springs, CO 80487

Mailing address

PO Box 883245
Steamboat Springs, CO 80488
Phone (970) 871-4644

National Provider Directory

National Provider Directory

Locations

1755 Central Park Dr
Ste 130
Steamboat Springs, CO 80487
Phone (970) 871-4644

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1629228283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883245",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80488",
            "telephone_number": "970-871-4644",
            "fax_number": "970-871-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 CENTRAL PARK DRIVE",
            "address_2": "#130",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-871-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "KIDGELL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-871-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.