Old Town Chiropractic & Massage, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5120 Issued in CO

Legal business name

OLD TOWN CHIROPRACTIC & MASSAGE, PLLC

Practice address

420 S Howes St
D107
Fort Collins, CO 80521-2871

Phone

(970) 377-0918

Fax

(970) 221-2437

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Angelique Kathleen Cross, D.C.NPI 1952463697

Title

Doctor/Owner

Phone

(970) 377-0918

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelique Kathleen Cross, D.C.

  • Chiropractor
  • Canton, MO
  • NPI 1952463697
  NPD (past) Authorized official

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1902076722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S HOWES ST",
            "address_2": "D107",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212871",
            "telephone_number": "970-377-0918",
            "fax_number": "970-221-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S HOWES ST",
            "address_2": "D107",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212871",
            "telephone_number": "970-377-0918",
            "fax_number": "970-221-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN CHIROPRACTIC & MASSAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "970-377-0918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee Ohrablo, MA, CRC
• Karina Okoren
• Mirtha Olague
• Maggie Olanie, RMT
• Jenna Olcott, RN
• Cait Olde, LPC
• John Bradley Oldemeyer, M.D.
• Keira Lisbeth Olivas, MA, LPC, LMFT
• Shelley M Oliver, MD
• Olo Physical Therapy and Wellness

• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.