Organization Active NPI

Kreager Chiropractic, PC

  • Chiropractor
  • Windsor, CO
National Provider Identifier
1972743805
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4916, 4974 Issued in CO
Legal business name
KREAGER CHIROPRACTIC, PC
Practice address
220 Main St
Unit G
Windsor, CO 80550-5046
Phone
(970) 686-0920
Fax
(970) 686-0953
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mandy Kreager, DCNPI 1295801884
Title
President
Phone
(970) 686-0920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4916, 4974 CO Primary

Addresses

Primary practice location

220 Main St
Unit G
Windsor, CO 80550-5046

Mailing address

220 Main St
Unit G
Windsor, CO 80550-5046
Phone (970) 686-0920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090320000072 CO Part B Supplier - Clinic/Group Practice 9638236532 Receives reassigned benefits from 2 practitioners
Practice locations: Windsor, CO

National Provider Directory

National Provider Directory
Tax ID family
Kreager Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1972743805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "address_2": "UNIT G",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505046",
            "telephone_number": "970-686-0920",
            "fax_number": "970-686-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "address_2": "UNIT G",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505046",
            "telephone_number": "970-686-0920",
            "fax_number": "970-686-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREAGER CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "KREAGER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-686-0920",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4916, 4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.