Fountain Chiropractic and Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FOUNTAIN CHIROPRACTIC AND WELLNESS CENTER

Practice address

468 N Santa Fe Ave
Fountain, CO 80817-1742

Phone

(806) 438-4219

NPI assigned

Apr 12, 2025

Organization subpart

No

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

Authorized official

Name

Jarod Keith Waters, DCNPI 1093968430

Title

Owner

Phone

(719) 799-6555

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarod Keith Waters, D.C.

  • Neurology Chiropractor
  • Fountain, CO
  • NPI 1093968430
  NPD Authorized official
• Slade Christian Stoller

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1518683176
  NPD

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

{
    "created_epoch": "1744416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1679368393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 N SANTA FE AVE",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171742",
            "telephone_number": "806-438-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 N SANTA FE AVE",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171742",
            "telephone_number": "806-438-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JAROD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-799-6555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Flores, DO
• Kristin Florez, MA, NCC
• Sarah Fogle, PT, DPT
• Forward Nutrition Co LLC
• Fountain Chiropractic and Wellness Center
• Fountain Chiropractic, LLC
• Fountain Dental Center P.C.
• Fountain Dental Center, PC
• Fountain Dental Practice, LLC
• Fountain Medical Center LLC

• Family Medicine Physician in Fountain, CO
• Providers in Fountain, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.