Individual provider Active NPI

Austin Thomas Gore, DC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1629631411
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0008033 Issued in CO
Practice address
107 Cameron Dr
Fort Collins, CO 80525-3802
Phone
(970) 682-2667
NPI assigned
Apr 17, 2019
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0008033 CO Primary

Addresses

Primary practice location

107 Cameron Dr
Fort Collins, CO 80525-3802

Mailing address

107 Cameron Dr
Fort Collins, CO 80525-3802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109003808 CO Practitioner - Chiropractic 9436635331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 Cameron Dr
Fort Collins, CO 80525-3802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008033COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Health Group LLC Chiropractor CurrentSince Nov 1, 2025 Accepting new patients

Locations

107 Cameron Dr
Fort Collins, CO 80525
Phone (970) 225-9399

Interoperability endpoints

  • Direct secure messaging: austin.gore.2@29676.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1629631411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CAMERON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CAMERON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253802",
            "telephone_number": "970-682-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "AUSTIN",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.