Powell Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2946 Issued in CO

Legal business name

POWELL CHIROPRACTIC INC.

Practice address

490 Rampart Range Rd
Woodland Park, CO 80863-2429

Phone

(719) 687-6096

Fax

(719) 687-9623

NPI assigned

Apr 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Keith Powell Sr., D.C.NPI 1144331919

Title

Owner

Phone

(719) 687-6096

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, CO2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Powell Chiropractor Inc.

  • Chiropractor
  • Newberry, FL
  • NPI 1750559613

  O20051024000503

  Same enrollment

Locations

Practitioners 1

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

• David Keith Powell, D.C.

  • Sports Physician Chiropractor
  • Woodland Park, CO
  • NPI 1144331919
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1679899025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5176",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808665176",
            "telephone_number": "719-687-6096",
            "fax_number": "719-687-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 RAMPART RANGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632429",
            "telephone_number": "719-687-6096",
            "fax_number": "719-687-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-687-6096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C26973",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Keith Powell, D.C.
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• Chiropractor in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.