Active NPI
Tyler Kallenbach, D.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1871998443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007172
- Practice address
- 2502 W Colorado Ave
Suite 207
Colorado Springs, CO 80904-3023 - Phone
- (719) 418-6464
- NPI assigned
- Oct 24, 2014
- 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 | CHR.0007172 | CO | Primary |
Addresses
Primary practice location
2502 W Colorado Ave
Suite 207
Colorado Springs, CO 80904-3023
Mailing address
2502 W Colorado Ave
Suite 207
Colorado Springs, CO 80904-3023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007172 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1871998443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 W COLORADO AVE",
"address_2": "SUITE 207",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 W COLORADO AVE",
"address_2": "SUITE 207",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043023",
"telephone_number": "719-418-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLENBACH",
"first_name": "TYLER",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0007172",
"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 Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.