NPIMap

Organization Active NPI

Freedom Chiropractic PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1669539383
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5390 Issued in CO
Legal business name
FREEDOM CHIROPRACTIC PC
Practice address
6210 Lehman Drive
Suite 100
Colorado Springs, CO 80918
Phone
(719) 533-0303
Fax
(719) 533-0304
NPI assigned
Jan 2, 2007
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Dr. Kristen Cara Kells, D.C.NPI 1730268848
Title
Owner
Phone
(719) 533-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Chiropractor 111N00000X 5390 CO Primary
Chiropractor 111N00000X 6156 CO

Addresses

Primary practice location

6210 Lehman Drive
Suite 100
Colorado Springs, CO 80918

Mailing address

6210 Lehman Drive
Suite 100
Colorado Springs, CO 80918
Phone (719) 533-0303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000279 CO Part B Supplier - Clinic/Group Practice 7315045457 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

6210 Lehman Dr
Unit 100
Colorado Springs, CO 80918
Phone (719) 533-0303

6285 Lehman Dr
Ste 101
Colorado Springs, CO 80918
Phone (719) 227-7477

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1669539383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 LEHMAN DRIVE",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-533-0303",
            "fax_number": "719-533-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 LEHMAN DRIVE",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-533-0303",
            "fax_number": "719-533-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "KELLS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "CARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-533-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5390",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6156",
            "primary": false
        }
    ],
    "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 Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.