Colton Drew Wostenberg

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15747 Issued in TX

Practice address

5704 Beckon FLS
Waco, TX 76708-7305

Phone

(307) 760-5999

NPI assigned

Sep 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waco Integrated Medical PLLCGroup PAC ID 3274863808, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waco Integrated Medical PLLC

  • General Practice Physician
  • Woodway, TX
  • NPI 1205397965
  Medicare reassignment Care Compare group NPD
• Comprehensive Injury Treatment Services PLLC

  • General Practice Physician
  • Temple, TX
  • NPI 1811325954
  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1073391801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 BECKON FLS",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087305",
            "telephone_number": "307-760-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 BECKON FLS",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087305",
            "telephone_number": "307-760-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSTENBERG",
        "first_name": "COLTON",
        "middle_name": "DREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Woods, LMFT
• Noel Albert Woods, CRNA
• Mathew Woodward, MS LPC
• Cheryl Wooten, PSY.D.
• Hannah Wooten, RBT
• Heather Woycheshin
• Justin Wylie Wray, M.D.
• Dallas Glen Wright, M.D.
• Deena Jan Wright, L.P.C.
• Kelli Annette Wright, LPC

• Chiropractor in Waco, TX
• Providers in Waco, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.