NPIMap

Organization Active NPI

Durango Spine & Sport LLC

  • Chiropractor
  • Durango, CO
National Provider Identifier
1629454012
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0006555 Issued in CO
Legal business name
DURANGO SPINE & SPORT LLC
Practice address
270 E College Dr
Ste 100
Durango, CO 81301-5599
Phone
(970) 422-8544
Fax
(970) 422-7091
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Kourtney Lockwood, DC
Title
Owner
Phone
(970) 422-8544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR.0006555 CO Primary

Addresses

Primary practice location

270 E College Dr
Ste 100
Durango, CO 81301-5599

Mailing address

270 E College Dr
Ste 100
Durango, CO 81301-5599
Phone (970) 422-8544

National Provider Directory

National Provider Directory

Locations

270 E College Dr
Unit 100
Durango, CO 81301
Phone (970) 422-8544

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1629454012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E COLLEGE DR",
            "address_2": "STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015599",
            "telephone_number": "970-422-8544",
            "fax_number": "970-422-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E COLLEGE DR",
            "address_2": "STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015599",
            "telephone_number": "970-422-8544",
            "fax_number": "970-422-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANGO SPINE & SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-422-8544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0006555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.