Organization Active NPI

Cortez Chiropractic P.C.

  • Chiropractor
  • Cortez, CO
National Provider Identifier
1982903795
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4379 Issued in CO
Legal business name
CORTEZ CHIROPRACTIC P.C.
Practice address
112 W Montezuma Ave
Cortez, CO 81321-2759
Phone
(970) 564-9515
Fax
(970) 564-9164
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Kiviok G. Hight, DCNPI 1891854626
Title
DC
Phone
(970) 564-9515

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
Chiropractor 111N00000X 4379 CO Primary

Addresses

Primary practice location

112 W Montezuma Ave
Cortez, CO 81321-2759

Mailing address

112 W Montezuma Ave
Cortez, CO 81321-2759
Phone (970) 564-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150430001072 CO Part B Supplier - Clinic/Group Practice 5092034777 Receives reassigned benefits from 1 practitioner
Practice locations: Cortez, CO

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1982903795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MONTEZUMA AVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212759",
            "telephone_number": "970-564-9515",
            "fax_number": "970-564-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MONTEZUMA AVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212759",
            "telephone_number": "970-564-9515",
            "fax_number": "970-564-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEZ CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "HIGHT",
        "authorized_official_first_name": "KIVIOK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "970-564-9515",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.