Individual provider Active NPI

Marybeth Guevara, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1881698462
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4938 Issued in CO
Practice address
3152 Blue Mountain Way
Colorado Springs, CO 80906-4503
Phone
(719) 684-7832
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4938 CO Primary

Addresses

Primary practice location

3152 Blue Mountain Way
Colorado Springs, CO 80906-4503

Mailing address

3152 Blue Mountain Way
Colorado Springs, CO 80906-4503
Phone (719) 684-7832

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4938COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Salsman Chiropractic Health Center Chiropractor Past Accepting new patients
Colorado Health and Wellness, Inc. Chiropractor PastSince Jan 1, 2005 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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1881698462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 BLUE MOUNTAIN WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064503",
            "telephone_number": "719-684-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 BLUE MOUNTAIN WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064503",
            "telephone_number": "719-684-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "MARYBETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4938",
            "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 17, 2010; 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.