Organization Active NPI

Fitzwater Chiropractic Clinic PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1831235399
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3052 Issued in CO
Legal business name
FITZWATER CHIROPRACTIC CLINIC PC
Practice address
1210 E la Salle St
Colorado Springs, CO 80907-7128
Phone
(719) 475-8676
Fax
(719) 475-8678
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Sheryl Lynn Fitzwater, D.C.
Title
Owner
Phone
(719) 475-8676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3052 CO Primary

Addresses

Primary practice location

1210 E la Salle St
Colorado Springs, CO 80907-7128

Mailing address

1210 E la Salle St
Colorado Springs, CO 80907-7128
Phone (719) 475-8676

National Provider Directory

National Provider Directory

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1831235399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E LA SALLE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077128",
            "telephone_number": "719-475-8676",
            "fax_number": "719-475-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E LA SALLE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077128",
            "telephone_number": "719-475-8676",
            "fax_number": "719-475-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZWATER CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "FITZWATER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-475-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2007; 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.