Active NPI
Dustin Nabhan, D.C.
- Sports Physician Chiropractor
- Colorado Springs, CO
National Provider Identifier
1144462938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 6455
- Practice address
- 1 Olympic PLZ
Colorado Springs, CO 80909-5780 - Phone
- (928) 580-3642
- NPI assigned
- Mar 25, 2009
- Last updated
- Feb 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31214 | CA | |
| Sports Physician Chiropractor | 111NS0005X | 6455 | CO | Primary |
Addresses
Primary practice location
1 Olympic PLZ
Colorado Springs, CO 80909-5780
Mailing address
1 Olympic PLZ
Colorado Springs, CO 80909-5780
Phone (928) 580-3642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31214 | CA | MD | Chiropractor |
| 6455 | CO | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Raven Project | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1144462938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLYMPIC PLZ",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095780",
"telephone_number": "928-580-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OLYMPIC PLZ",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095780",
"telephone_number": "928-580-3642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABHAN",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-25",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31214",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "6455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.