Organization Active NPI

Atlas Chiropractic Montrose LLC

  • Chiropractor
  • Montrose, CO
National Provider Identifier
1700445087
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATLAS CHIROPRACTIC MONTROSE LLC
Practice address
1541 Ogden Rd
Montrose, CO 81401-5683
Phone
(970) 252-0378
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Tyler Ray Mason, DCNPI 1043202724
Title
Owner
Phone
(402) 209-3209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1541 Ogden Rd
Montrose, CO 81401-5683

Mailing address

1807 4TH Corso Ste 4
Nebraska City, NE 68410-2679
Phone (402) 209-3127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190816000868 CO Part B Supplier - Clinic/Group Practice 8123355989 Receives reassigned benefits from 2 practitioners
Practice locations: Montrose, CO

National Provider Directory

National Provider Directory

Locations

1807 4th Corso
Ste 4
Nebraska City, NE 68410
Phone (402) 874-9044

Practitioners & affiliated clinicians

Practitioners 4

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": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1700445087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 4TH CORSO STE 4",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102679",
            "telephone_number": "402-209-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 OGDEN RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015683",
            "telephone_number": "970-252-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CHIROPRACTIC MONTROSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-209-3209",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.