Individual provider Active NPI

Andrew Hummell, D.C.

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1740347590
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5552 Issued in CO
Practice address
3979 E Arapahoe Rd
Ste 100
Centennial, CO 80122-2072
Phone
(303) 694-2700
Fax
(303) 694-4454
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5552 CO Primary

Addresses

Primary practice location

3979 E Arapahoe Rd
Ste 100
Centennial, CO 80122-2072

Mailing address

3979 E Arapahoe Rd
Ste 100
Centennial, CO 80122-2072
Phone (303) 694-2700

Other identifiers 1

IdentifierTypeStateIssuer
663837OtherCOUNITEDHEALTHCARE PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000975 CO Practitioner - Chiropractic 7113810227 Practice locations: Centennial, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5552COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1740347590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3979 E ARAPAHOE RD",
            "address_2": "STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222072",
            "telephone_number": "303-694-2700",
            "fax_number": "303-694-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3979 E ARAPAHOE RD",
            "address_2": "STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222072",
            "telephone_number": "303-694-2700",
            "fax_number": "303-694-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMELL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE PROVIDER",
            "identifier": "663837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

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