Individual provider Active NPI

Curtis Ray Kannegieter, DC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1851489512
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1591 Issued in CO
Practice address
6650 S Vine St Ste 110
Centennial, CO 80121-2740
Phone
(303) 730-3174
Fax
(303) 730-2294
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1591 CO Primary

Addresses

Primary practice location

6650 S Vine St Ste 110
Centennial, CO 80121-2740

Mailing address

6650 S Vine St Ste 110
Centennial, CO 80121-2740
Phone (303) 730-3174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000061 CO Practitioner - Chiropractic 2466485172 Practice locations: Centennial, CO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6650 S Vine St
Suite 110
Centennial, CO 80121-2740
Phone (303) 730-3174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1591COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Chiropractic Clinic Professional Corporation Chiropractor PastSince Sep 26, 2011 Accepting new patients
Colorado Chiropractic & Wellness PC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1851489512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 S VINE ST STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212740",
            "telephone_number": "303-730-3174",
            "fax_number": "303-795-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 S VINE ST STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212740",
            "telephone_number": "303-730-3174",
            "fax_number": "303-730-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEGIETER",
        "first_name": "CURTIS",
        "middle_name": "RAY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "1591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.