Individual provider Active NPI

Christopher Colvin, DO

  • Sports Medicine (Family Medicine) Physician
  • Dyess AFB, TX
National Provider Identifier
1174013742
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
W2238 Issued in TX
Practice address
697 Louisiana Rd
Dyess AFB, TX 79607-1141
Phone
(325) 696-4712
NPI assigned
May 18, 2018
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X W2238 TX Primary
Family Medicine Physician 207Q00000X W2238 TX

Addresses

Primary practice location

697 Louisiana Rd
Dyess AFB, TX 79607-1141

Mailing address

697 Louisiana Rd
Dyess AFB, TX 79607-1141
Phone (325) 696-4712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810000243 NC Order and Referring Only - Osteopathic Manipulative MedicinePractitioner - Osteopathic Manipulative Medicine 9739437591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2182NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1174013742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "W2238",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W2238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyess AFB, TX

Sources for this page

Verify at the official NPI Registry.