Active NPI
Chris Edward Cembalisty, D.C., P.C.
- Chiropractor
- Grand Junction, CO
National Provider Identifier
1851466767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4309
- Practice address
- 1036 N 4TH St
Grand Junction, CO 81501-7560 - Phone
- (970) 256-7604
- Fax
- (970) 256-0244
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4309 | CO | Primary |
Addresses
Primary practice location
1036 N 4TH St
Grand Junction, CO 81501-7560
Mailing address
1036 N 4TH St
Grand Junction, CO 81501-7560
Phone (970) 256-7604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4309 | Other | CO | STATE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041015000470 | CO | Practitioner - Chiropractic | 4981664760 | Practice locations: Grand Junction, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1036 N 4TH St
Grand Junction, CO 81501-7560
Phone (970) 256-7604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4309 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris E. Cembalisty D.C., P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Grand Junction, CO
- NPI 1467766568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1851466767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 N 4TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815017560",
"telephone_number": "970-256-7604",
"fax_number": "970-256-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 N 4TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815017560",
"telephone_number": "970-256-7604",
"fax_number": "970-256-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEMBALISTY",
"first_name": "CHRIS",
"middle_name": "EDWARD",
"credential": "D.C., P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PROVIDER NUMBER",
"identifier": "4309",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.