Organization Active NPI

Complete Chiropractic P.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1891887998
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5915 Issued in CO
Legal business name
COMPLETE CHIROPRACTIC P.C.
Practice address
9420 Briar Village Point
Suite 130
Colorado Springs, CO 80920
Phone
(719) 593-0300
Fax
(719) 593-1451
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Mrs. Sabrina J Whidden
Title
President
Phone
(719) 593-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5915 CO Primary

Addresses

Primary practice location

9420 Briar Village Point
Suite 130
Colorado Springs, CO 80920

Mailing address

9420 Briar Village Point
Suite 130
Colorado Springs, CO 80920
Phone (719) 593-0300

Other identifiers 1

IdentifierTypeStateIssuer
C806709OtherCOMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000366 CO Part B Supplier - Clinic/Group Practice 4789683624 Receives reassigned benefits from 3 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

9362 Grand Cordera Pkwy
Ste 120
Colorado Springs, CO 80924
Phone (719) 278-3612

Practitioners & affiliated clinicians

Practitioners 3

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1891887998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 BRIAR VILLAGE POINT",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-593-0300",
            "fax_number": "719-593-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 BRIAR VILLAGE POINT",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-593-0300",
            "fax_number": "719-593-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "WHIDDEN",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-593-0300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C806709",
            "state": "CO"
        }
    ],
    "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 Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.