Individual provider Active NPI

Krystal Uthe, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1922380427
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6877 Issued in CO
Practice address
4675 Centennial Blvd
Colorado Springs, CO 80919-3304
Phone
(719) 475-8676
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6877 CO Primary

Addresses

Primary practice location

4675 Centennial Blvd
Colorado Springs, CO 80919-3304

Mailing address

4775 Brown Valley LN
Colorado Springs, CO 80918-4007
Phone (636) 697-5408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000419 CO Practitioner - Chiropractic 4688846868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Health SystemsGroup PAC ID 3476724113, 5 clinicians

Practice addresses (Care Compare)

4209 Centennial Blvd
Colorado Springs, CO 80907-3770
Phone (719) 475-8676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6877COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Health Systems Chiropractor CurrentSince Oct 5, 2013 Accepting new patients
Lancaster Chiropractic LLC Chiropractor PastSince Mar 15, 2008 Accepting new patients
Wellnessfirst Chiropractic of Ellettsville LLC Chiropractor Past Accepting new patients

Locations

20 Mount View Ln
Ste C
Colorado Springs, CO 80907

4209 Centennial Blvd
Colorado Springs, CO 80907
Phone (719) 268-8939

4675 Centennial Blvd
Colorado Springs, CO 80919
Phone (719) 475-8676

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1922380427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 BROWN VALLEY LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184007",
            "telephone_number": "636-697-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 CENTENNIAL BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193304",
            "telephone_number": "719-475-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTHE",
        "first_name": "KRYSTAL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6877",
            "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 Jul 28, 2015; 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.