Individual provider Active NPI

David Michael McCollum, D.C.

  • Chiropractor
  • Yucca Valley, CA
National Provider Identifier
1336206325
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28516 Issued in CA
Practice address
56351 29 Palms Hwy Ste C
Yucca Valley, CA 92284-2859
Phone
(760) 365-8729
Fax
(760) 365-8732
NPI assigned
Jan 2, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28516 CA Primary

Addresses

Primary practice location

56351 29 Palms Hwy Ste C
Yucca Valley, CA 92284-2859

Mailing address

56351 29 Palms Hwy Ste C
Yucca Valley, CA 92284-2859
Phone (760) 365-8729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000431 CA Practitioner - Chiropractic 6709856446 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
Group practices

Practice addresses (Care Compare)

58375 29 Palms Hwy
Yucca Valley, CA 92284-5813
Phone (760) 365-9305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28516CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hi-Desert Memorial Health Care District CurrentSince Mar 28, 2023 Accepting new patients
Hi -Desert Memorial Health Care District Current Accepting new patients

Locations

58383 29 Palms Hwy
Yucca Valley, CA 92284

58375 29 Palms Hwy
Yucca Valley, CA 92284
Phone 76036593051604

58383 29 Palms Hwy
Ste 101
Yucca Valley, CA 92284
Phone (760) 820-9229

6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336206325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56351 29 PALMS HWY STE C",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842859",
            "telephone_number": "760-365-8729",
            "fax_number": "760-365-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56351 29 PALMS HWY STE C",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842859",
            "telephone_number": "760-365-8729",
            "fax_number": "760-365-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.