Fountain Creek Chiropractic
NPI 1245423268ActiveOrganization· Chiropractor· Woodland Park, CO
Chiropractor in Woodland Park, Colorado, registered in NPPES in August 2007. The authorized official on file is James Russell Wiley, D.C., Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245423268 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2007 |
| Last updated in NPPES | May 28, 2021 |
| Certified by provider | May 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5709 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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