Colorado Springs Sports Chiropractic, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

6270 Issued in CO

Legal business name

COLORADO SPRINGS SPORTS CHIROPRACTIC, LLC

Practice address

611 N Nevada Ave
Suite 4
Colorado Springs, CO 80903-1099

Phone

(719) 358-9837

Fax

(719) 358-9838

NPI assigned

Sep 18, 2009

Last updated

Sep 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julia Crystal Johnson, D.C.

Title

Managing Member

Phone

(719) 358-9837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1790018018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N NEVADA AVE",
            "address_2": "SUITE 4",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031099",
            "telephone_number": "719-358-9837",
            "fax_number": "719-358-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N NEVADA AVE",
            "address_2": "SUITE 4",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031099",
            "telephone_number": "719-358-9837",
            "fax_number": "719-358-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS SPORTS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "719-358-9837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "6270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.