Individual provider Active NPI

Andrew Lyle Creitz, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1972463826
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0009012 Issued in CO
Practice address
1350 Kelly Johnson Blvd
Colorado Springs, CO 80920-4095
Phone
(808) 333-7680
NPI assigned
Nov 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0009012 CO Primary

Addresses

Primary practice location

1350 Kelly Johnson Blvd
Colorado Springs, CO 80920-4095

Mailing address

1350 Kelly Johnson Blvd # 2-407
Colorado Springs, CO 80920-4095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205003426 CO Practitioner - Chiropractic 2860971256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Chiropractic PCGroup PAC ID 4789683624, 3 clinicians

Practice addresses (Care Compare)

9362 Grand Cordera Pkwy
Suite 120
Colorado Springs, CO 80924-7007
Phone (719) 593-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0009012COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Chiropractic P.C. Chiropractor CurrentSince Dec 24, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1972463826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 KELLY JOHNSON BLVD # 2-407",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KELLY JOHNSON BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204095",
            "telephone_number": "808-333-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREITZ",
        "first_name": "ANDREW",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0009012",
            "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 Nov 13, 2025; 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.