EASTRIDGE CHIROPRACTIC COMPANY P.C.
NPI 1710576194
Chiropractor in Highlands Ranch, CO

Active since January 11, 2021
9090 RIDGELINE BLVD STE 205, HIGHLANDS RANCH, CO 80129(408) 391-4346 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Eastridge Chiropractic Company P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTRIDGE CHIROPRACTIC COMPANY P.C. (NPI 1710576194) is a healthcare organization registered as a chiropractor in Highlands Ranch, Colorado and active in the NPI registry since January 2021. The organization lists Shantai Irene Watson, Owner, as its authorized official.

NPPES Registry Identity

NPI1710576194
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEASTRIDGE CHIROPRACTIC COMPANY P.C.
Location Address9090 RIDGELINE BLVD STE 205Highlands Ranch, CO 80129-2505
Mailing Address6344 S Harrison CtCentennial, CO 80121-3611 · (408) 391-4346
Organization SubpartNo
Authorized OfficialShantai Irene WatsonOwner · (408) 391-4346
Enumeration DateJanuary 11, 2021
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1710576194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
9090 RIDGELINE BLVD STE 205, Highlands Ranch, CO 80129

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastridge Chiropractic Company P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastridge Chiropractic Company P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1063055960
9090 SOUTH RIDGELINE BLVD SUITE 205
Highlands Ranch, CO 80129
(303) 683-9494
0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastridge Chiropractic Company P.C.'s NPI number?

The NPI number for Eastridge Chiropractic Company P.C. is 1710576194. It was assigned to this organization in the NPPES registry on January 11, 2021.

Where is Eastridge Chiropractic Company P.C. located?

Eastridge Chiropractic Company P.C. is located at 9090 Ridgeline Blvd Ste 205, Highlands Ranch, CO 80129. The listed phone number is (408) 391-4346.

What is Eastridge Chiropractic Company P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Eastridge Chiropractic Company P.C. enrolled in Medicare?

Yes. Eastridge Chiropractic Company P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastridge Chiropractic Company P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Eastridge Chiropractic Company P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastridge Chiropractic Company P.C. was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.