Individual provider Active NPI

Daniel John Paterson, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1740289768
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4534 Issued in CO
Practice address
6208 Lehman Dr
Suite 225
Colorado Springs, CO 80918-8408
Phone
(719) 344-8469
Fax
(719) 344-8473
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4534 CO Primary

Addresses

Primary practice location

6208 Lehman Dr
Suite 225
Colorado Springs, CO 80918-8408

Mailing address

6208 Lehman Dr
Suite 225
Colorado Springs, CO 80918-8408
Phone (719) 344-8469

Other identifiers 2

IdentifierTypeStateIssuer
COAAA0938OtherCOINDIVIDUAL PTAN
COA103738OtherCOGROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000379 CO Practitioner - Chiropractic 3173565967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6208 Lehman Dr
Suite 225
Colorado Springs, CO 80918-8404
Phone (719) 344-8469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health & Longevity Center Chiropractor CurrentSince Dec 21, 2010 Accepting new patients

Locations

6208 Lehman Dr
Ste 225
Colorado Springs, CO 80918
Phone (719) 344-8469

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1740289768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 LEHMAN DR",
            "address_2": "SUITE 225",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188408",
            "telephone_number": "719-344-8469",
            "fax_number": "719-344-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 LEHMAN DR",
            "address_2": "SUITE 225",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188408",
            "telephone_number": "719-344-8469",
            "fax_number": "719-344-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERSON",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "COAAA0938",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "COA103738",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.