Individual provider Active NPI

Kourtney Lockwood, D.C.

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1770808461
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6555 Issued in CO
Practice address
5601 S Broadway Ste 470
Littleton, CO 80121-8010
Phone
(720) 907-6767
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3434 MA
Chiropractor 111N00000X CH60202246 WA
Chiropractor 111N00000X X011845-1 NY
Chiropractor 111N00000X 6555 CO Primary

Addresses

Primary practice location

5601 S Broadway Ste 470
Littleton, CO 80121-8010

Mailing address

PO Box 9636
Denver, CO 80209-0636

Other practice location 1

2154 Grand Island Blvd
Grand Island, NY 14072-2194
Phone (716) 249-1780

Other practice location 2

135 Delaware Ave Frnt 103
Buffalo, NY 14202-2410
Phone (716) 249-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6555COMDChiropractor
X011845-1NYMDChiropractor
CH60202246WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1770808461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9636",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802090636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S BROADWAY STE 470",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218010",
            "telephone_number": "720-907-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2154 Grand Island Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NY",
            "postal_code": "140722194",
            "country_code": "US",
            "telephone_number": "716-249-1780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Delaware Ave Frnt 103",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142022410",
            "country_code": "US",
            "telephone_number": "716-249-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "KOURTNEY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3434",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60202246",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011845-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

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