Active NPI
Curtis Ray Kannegieter, DC
- Chiropractor
- Centennial, CO
National Provider Identifier
1851489512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1591
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1591 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Chiropractic Clinic Professional Corporation | Chiropractor | Past | 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.
-
- Chiropractor
- Englewood, CO
- NPI 1447395785
-
- Chiropractor
- Englewood, CO
- NPI 1528344744
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.