Individual provider Active NPI

David Daniell Haight, MD

  • Sports Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1174599575
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DR.0064719 Issued in CO
Practice address
1615 Silversmith Rd
Colorado Springs, CO 80921-7225
Phone
(719) 633-5255
Fax
(719) 488-6753
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9901191 NC
Sports Medicine (Family Medicine) Physician 207QS0010X DR.0064719 CO Primary

Addresses

Primary practice location

1615 Silversmith Rd
Colorado Springs, CO 80921-7225

Mailing address

1615 Silversmith Rd
Colorado Springs, CO 80921-7225
Phone (719) 633-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210504002927 CO Practitioner - Family Practice 1052720018 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9901191NCMDFamily Medicine Physician
DR.0064719COMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fraser Professional Medical Group LLC Family Medicine CurrentSince Feb 17, 2021 Accepting new patients

Locations

1615 Silversmith Rd
Colorado Springs, CO 80921
Phone (719) 323-5772

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1174599575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SILVERSMITH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217225",
            "telephone_number": "719-633-5255",
            "fax_number": "719-488-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SILVERSMITH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217225",
            "telephone_number": "719-633-5255",
            "fax_number": "719-488-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "DAVID",
        "middle_name": "DANIELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9901191",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR.0064719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.