Evergreen Spine and Sports Medicine LLC
NPI 1427486539ActiveOrganization· Chiropractor· Evergreen, CO
Chiropractor in Evergreen, Colorado, registered in NPPES in October 2013. The authorized official on file is Maya Marie Gonzales, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427486539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2013 |
| Last updated in NPPES | Feb 10, 2023 |
| Certified by provider | Feb 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
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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