Individual provider Active NPI

Dana A Berthiaume, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1679606297
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0007299 Issued in CO
Practice address
655 Southpointe CT Ste 100
Colorado Springs, CO 80906-3859
Phone
(719) 963-6044
NPI assigned
Mar 13, 2007
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0007299 CO Primary

Addresses

Primary practice location

655 Southpointe CT Ste 100
Colorado Springs, CO 80906-3859

Mailing address

655 Southpointe CT
Colorado Springs, CO 80906-3859
Phone (719) 963-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007299COMDChiropractor
1465ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Wellness Spa, P.a. Chiropractor PastSince Apr 25, 2004 Accepting new patients
Heuser Chiropractic, P.C. Chiropractor Past Accepting new patients
Zook Chiropractic, P.a. Chiropractor PastSince Sep 25, 2013 Accepting new patients

Organizations & group practices 3

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1679606297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SOUTHPOINTE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063859",
            "telephone_number": "719-963-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SOUTHPOINTE CT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063859",
            "telephone_number": "719-963-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHIAUME",
        "first_name": "DANA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007299",
            "primary": true
        }
    ],
    "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 22, 2024; 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.