Organization Active NPI

Lifestyle Elevated PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1861985723
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6122 Issued in CO
Legal business name
LIFESTYLE ELEVATED PC
Practice address
1410 S 21St St
Colorado Springs, CO 80904-4204
Phone
(719) 632-4225
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Timothy Christopherson, DC
Title
Owner
Phone
(720) 940-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6122 CO Primary

Addresses

Primary practice location

1410 S 21St St
Colorado Springs, CO 80904-4204

Mailing address

595 Chapel Hills Dr Ste 200
Colorado Springs, CO 80920-1056
Phone (720) 940-4603

National Provider Directory

National Provider Directory

Locations

595 Chapel Hills Dr
Ste 200
Colorado Springs, CO 80920
Phone (719) 593-7300

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": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1861985723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201056",
            "telephone_number": "720-940-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S 21ST ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044204",
            "telephone_number": "719-632-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE ELEVATED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-940-4603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6122",
            "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 2, 2024; 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.