Courtney Tate, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007662 Issued in CO

Practice address

1931 Sheridan Blvd Unit R
Edgewater, CO 80214-1300

Phone

(303) 993-3414

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cardinal Family Chiropractic LLC

  • Chiropractor
  • Westminster, CO
  • NPI 1962911271
  Medicare reassignment NPD
• Cardinal Chiropractic LLC

  • Chiropractor
  • Westminster, CO
  • NPI 1265854954
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1699343616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 SHERIDAN BLVD UNIT R",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141300",
            "telephone_number": "303-993-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 SHERIDAN BLVD UNIT R",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141300",
            "telephone_number": "303-993-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L Smario
• Emily Smith, OD, MS
• Meghan Margaret Stetson
• Martha Strong, LCSW
• Summus Rehabilitation
• Michelle Lynn Trejo, MPA, BSN, BSP
• Jodie Michelle Wathier, CMT
• Scott Adam Williams, CMT, CPT, CNC
• Naomi Winard
• Anna Marie Wolfe

• Chiropractor in Edgewater, CO
• Providers in Edgewater, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.