Individual provider Active NPI

Chad McMahan, D.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1689962391
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6674 Issued in CO
Practice address
2721 S College Ave Unit 4a
Fort Collins, CO 80525-2160
Phone
(970) 377-2250
Fax
(970) 377-2251
NPI assigned
Jul 14, 2011
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6674 CO Primary

Addresses

Primary practice location

2721 S College Ave Unit 4a
Fort Collins, CO 80525-2160

Mailing address

2721 S College Ave Unit 4a
Fort Collins, CO 80525-2160
Phone (970) 377-2250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000377 CO Practitioner - Chiropractic 3870768336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2721 S College Ave
Unit 4a
Fort Collins, CO 80525-2160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6674COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revelation Chiropractic LLC Chiropractor CurrentSince Aug 9, 2011 Accepting new patients

Locations

2720 Council Tree Ave
Ste 146
Fort Collins, CO 80525
Phone (970) 377-2250

2721 S College Ave
Unit 4A
Fort Collins, CO 80525
Phone (970) 377-2250

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1689962391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 S COLLEGE AVE UNIT 4A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252160",
            "telephone_number": "970-377-2250",
            "fax_number": "970-377-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 S COLLEGE AVE UNIT 4A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252160",
            "telephone_number": "970-377-2250",
            "fax_number": "970-377-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "CHAD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6674",
            "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 Aug 10, 2026; 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.