Organization Active NPI

Chiropractic Lifestyles, PC

  • Chiropractor
  • Peyton, CO
National Provider Identifier
1699968271
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3993 Issued in CO
Legal business name
CHIROPRACTIC LIFESTYLES, PC
Practice address
11605 Meridian Market VW
Suite # 142
Peyton, CO 80831-8237
Phone
(719) 475-2455
Fax
(719) 475-2254
NPI assigned
Aug 27, 2007
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Jason W. Cahill, DC
Title
Operator
Phone
(719) 475-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3993 CO Primary

Addresses

Primary practice location

11605 Meridian Market VW
Suite # 142
Peyton, CO 80831-8237

Mailing address

2812 W Colorado Ave
Suite # 104
Colorado Springs, CO 80904-2470
Phone (719) 475-2455

Other identifiers 3

IdentifierTypeStateIssuer
1891822193OtherGROUP NPI
B65742OtherCOUPIN
SA666803OtherCOANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

2812 W Colorado Ave
Colorado Springs, CO 80904

11605 Meridian Market Vw
Ste 142
Peyton, CO 80831
Phone (701) 830-0431

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1699968271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W COLORADO AVE",
            "address_2": "SUITE # 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042470",
            "telephone_number": "719-475-2455",
            "fax_number": "719-475-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MERIDIAN MARKET VW",
            "address_2": "SUITE # 142",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318237",
            "telephone_number": "719-475-2455",
            "fax_number": "719-475-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFESTYLES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "719-475-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1891822193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B65742",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "SA666803",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.