Individual provider Active NPI

Carlos De Leon

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1912397274
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
EL.2786371 Issued in CO
Practice address
5690 W 88TH Ave
Westminster, CO 80031-3005
Phone
(303) 536-1780
NPI assigned
Jan 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X EL.2786371 CO Primary

Addresses

Primary practice location

5690 W 88TH Ave
Westminster, CO 80031-3005

Mailing address

1210 Glen Creighton Dr
Dacono, CO 80514-9578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150306001150 CO Practitioner - Chiropractic 7810213048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5690 W 88TH Ave
Westminster, CO 80031-3005
Phone (303) 536-1780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL.2786371COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chapis LLC Chiropractor CurrentSince Jan 30, 2017 Accepting new patients
Montgomery Family Chiropractic LLC Chiropractor CurrentSince Jan 30, 2017 Accepting new patients
Chiropractic Plus, PC Chiropractor CurrentSince Feb 9, 2015 Accepting new patients

Locations

550 Thornton Pkwy
Unit 178
Thornton, CO 80229
Phone (303) 254-8430

5690 W 88th Ave
Westminster, CO 80031
Phone (303) 210-6073

Organizations & group practices 3

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1912397274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 GLEN CREIGHTON DR",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805149578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 W 88TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313005",
            "telephone_number": "303-536-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "EL.2786371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.