Dale Chris Buckhaults, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4711 Issued in CO

Practice address

212 N 19TH St
Canon City, CO 81212-2423

Phone

(719) 275-4757

Fax

(719) 275-4757

NPI assigned

Feb 6, 2006

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

Logan College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drdcb@dfc0015.direct.chirotouch.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DC Family Chiropractic Inc

  dba DC Family Chiropractic

  • Chiropractor
  • Canon City, CO
  • NPI 1174706261
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1720050420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 19TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122423",
            "telephone_number": "719-275-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 19TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122423",
            "telephone_number": "719-275-4757",
            "fax_number": "719-275-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKHAULTS",
        "first_name": "DALE",
        "middle_name": "CHRIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Jo Broman, R.D.H.
• Shelly Brooks, RN
• Timothy Roland Brown, M.D.
• Christopher J Buchanan, MD
• Tristin Buchanan
• Jenifer L Burbank, LPC
• Verena Johanna Burger Schmid, LPC, CACII
• Abigail Rose Burton, FNP
• Leticia Buswell, NP-C
• Button Family Practice PC

• Chiropractor in Canon City, CO
• Providers in Canon City, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.