Individual provider Active NPI

Marla J Colburn Dunnells, D.C.

  • Chiropractor
  • Glastonbury, CT
National Provider Identifier
1114954930
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1508 Issued in CT
Practice address
2837 Main St
Glastonbury, CT 06033-1030
Phone
(860) 870-4100
Fax
(860) 870-4102
NPI assigned
Jun 27, 2006
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1508 CT Primary

Addresses

Primary practice location

2837 Main St
Glastonbury, CT 06033-1030

Mailing address

2837 Main St
Glastonbury, CT 06033-1030
Phone (860) 870-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000730 CT Practitioner - Chiropractic 0345218129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 New London Tpke
Suite 302
Glastonbury, CT 06033-2246
Phone (860) 870-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1508CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colburn Chiropractic LLC Chiropractor CurrentSince Aug 1, 2008 Accepting new patients
Omni Physical & Aquatic Therapy Center, Inc Chiropractor Past Accepting new patients
Connecticut Chiropractic Specialists LLC Chiropractor PastSince Feb 27, 2012 Accepting new patients

Locations

131 New London Tpke
Ste 302
Glastonbury, CT 06033
Phone (860) 870-4100

310 Hartford Tpke
Vernon Rockville, CT 06066
Phone (860) 730-2996

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1114954930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331030",
            "telephone_number": "860-870-4100",
            "fax_number": "860-870-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331030",
            "telephone_number": "860-870-4100",
            "fax_number": "860-870-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN DUNNELLS",
        "first_name": "MARLA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.