Individual provider Active NPI

Chris Edward Cembalisty, D.C., P.C.

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1851466767
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4309 Issued in CO
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

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4309OtherCOSTATE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4309COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chris E. Cembalisty D.C., P.C. Chiropractor PastSince Mar 16, 2001 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.

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.

Verify at the official NPI Registry.