Organization Active NPI

Rocky MTN Chiropractic & Sports Rehab PLLC

  • Sports Physician Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1801190384
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHR-4715 Issued in CO
Legal business name
ROCKY MTN CHIROPRACTIC & SPORTS REHAB PLLC
Practice address
1880 Dublin Blvd
Ste. E
Colorado Springs, CO 80918-1293
Phone
(719) 535-9900
Fax
(719) 535-9901
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Vincent Paul Loparco, D.C.NPI 1871670521
Title
President/General Manager
Phone
(719) 535-9900

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X CHR-4715 CO
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X CHR-4715 CO
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CHR-4715 CO
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X CHR-4715 CO Primary

Addresses

Primary practice location

1880 Dublin Blvd
Ste. E
Colorado Springs, CO 80918-1293

Mailing address

1880 Dublin Blvd
Ste. E
Colorado Springs, CO 80918-1293
Phone (719) 535-9900

Other identifiers 1

IdentifierTypeStateIssuer
443388OtherCOMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000681 CO Part B Supplier - Clinic/Group Practice 5991974297 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1880 Dublin Blvd
Ste E
Colorado Springs, CO 80918
Phone (719) 203-7459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1801190384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 DUBLIN BLVD",
            "address_2": "STE. E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181293",
            "telephone_number": "719-535-9900",
            "fax_number": "719-535-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 DUBLIN BLVD",
            "address_2": "STE. E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181293",
            "telephone_number": "719-535-9900",
            "fax_number": "719-535-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MTN CHIROPRACTIC & SPORTS REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "LOPARCO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/GENERAL MANAGER",
        "authorized_official_telephone_number": "719-535-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CO",
            "license": "CHR-4715",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "CO",
            "license": "CHR-4715",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "CHR-4715",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR-4715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "443388",
            "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 Dec 27, 2010; 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.