Individual provider Active NPI

Kiviok Garfield Hight, DC

  • Chiropractor
  • Cortez, CO
National Provider Identifier
1891854626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4379 Issued in CO
Practice address
112 W Montezuma Ave
Cortez, CO 81321-2759
Phone
(970) 564-9515
Fax
(970) 564-9164
NPI assigned
Dec 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4379 CO Primary

Addresses

Primary practice location

112 W Montezuma Ave
Cortez, CO 81321-2759

Mailing address

112 W Montezuma Ave
Cortez, CO 81321-2759
Phone (970) 564-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000425 CO Practitioner - Chiropractic 6709808538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 W Montezuma Ave
Cortez, CO 81321-2759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4379COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cortez Chiropractic P.C. Chiropractor CurrentSince Aug 1, 1998 Accepting new patients
Lewis Adamson Black P.C. Chiropractor PastSince Jan 20, 2015 Accepting new patients

Locations

112 W Montezuma Ave
Cortez, CO 81321
Phone (970) 564-9515

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891854626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MONTEZUMA AVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212759",
            "telephone_number": "970-564-9515",
            "fax_number": "970-564-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MONTEZUMA AVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212759",
            "telephone_number": "970-564-9515",
            "fax_number": "970-564-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHT",
        "first_name": "KIVIOK",
        "middle_name": "GARFIELD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.