DR. MATTHEW JAMES KRIEWALL (NPI# 1194771279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194771279 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAMES KRIEWALL |
| Credential | D.C. |
| Practice Address |
1002 W Drake Rd Suite #102 Fort Collins CO 80526-2645 |
| Practice Telephone | 9702245005 |
| Practice Fax Number | 9702662715 |
| Mailing Telephone | 9702245005 |
| Mailing Fax Number | 9702662715 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 28-17920-0000 | CO | Chiropractic Providers |
| Street Address |
1002 W DRAKE RD SUITE #102 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001391 | Vital Link Chiropractic, LLC | Chiropractor | 1002 W Drake Rd, Suite #102, Fort Collins, CO 80526-5568 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699239020 | Matthew Basilio | Chiropractor | 1015 S Taft Hill Rd Ste F, Fort Collins, CO 80521-4240 | 2019-01-30 |
| 1992274732 | Brave Roots Chiropractic | Chiropractor | 2111 S College Ave Ste B, Fort Collins, CO 80525-5404 | 2018-11-22 |
| 1497221733 | Jo Nell M Shaw | Chiropractor | 451 Boardwalk Dr Apt 513, Fort Collins, CO 80525-3224 | 2018-10-14 |
| 1013404037 | Joshua Thomas Werner | Chiropractor | 257 E. Boardwalk Dr., Fort Collins, CO 80525-8052 | 2018-04-16 |
| 1659886778 | Justin Lee Smestad | Chiropractor | 218 S Sunset St, Fort Collins, CO 80521-2102 | 2017-12-12 |
| 1669990966 | Simone Raedeke | Chiropractor | 115 E Harmony Rd Ste 200, Fort Collins, CO 80525-3280 | 2017-09-07 |
| 1427574664 | Peter Bulcher | Chiropractor | 1825 Sharp Point Dr, Fort Collins, CO 80525-4450 | 2017-08-18 |
| 1144743758 | Kendra Renee Conner | Chiropractor | 1027 W Horsetooth Rd S, Suite 101, Fort Collins, CO 80526-5982 | 2017-07-25 |
| 1598299125 | Corinne Deuel-gentile | Chiropractor | 811 E Elizabeth St, Fort Collins, CO 80524-3844 | 2017-04-20 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.