NPIMap

Organization Active NPI

Creede Chiropractic and Kinesiology Clinic, Inc

  • Nutrition Chiropractor
  • Creede, CO
National Provider Identifier
1760519409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
5177 Issued in CO
Legal business name
CREEDE CHIROPRACTIC AND KINESIOLOGY CLINIC, INC
Practice address
493 South Main St.
Creede, CO 81130
Phone
(719) 658-0526
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michelle Renae Richardson, M.S., D.C.NPI 1003090028
Title
President
Phone
(719) 658-3079

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 5176 CO
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 5177 CO Primary

Addresses

Primary practice location

493 South Main St.
Creede, CO 81130

Mailing address

PO Box 123
Creede, CO 81130-0123
Phone (719) 658-3079

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760519409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "CREEDE",
            "state": "CO",
            "postal_code": "811300123",
            "telephone_number": "719-658-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 SOUTH MAIN ST.",
            "city": "CREEDE",
            "state": "CO",
            "postal_code": "81130",
            "telephone_number": "719-658-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDE CHIROPRACTIC AND KINESIOLOGY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-658-3079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "5176",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "5177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creede, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.