Individual provider Active NPI

David Wayne Pool, DC

  • Chiropractor
  • Pueblo, CO
National Provider Identifier
1528049319
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3666 Issued in CO
Practice address
2403 Santa Fe Dr
Suite 7
Pueblo, CO 81006-1497
Phone
(719) 543-7894
Fax
(719) 546-2833
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 3666 CO Primary

Addresses

Primary practice location

2403 Santa Fe Dr
Suite 7
Pueblo, CO 81006-1497

Mailing address

2403 Santa Fe Dr
Suite 7
Pueblo, CO 81006-1497
Phone (719) 543-7894

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000623 CO Practitioner - Chiropractic 0042242521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2403 Santa Fe
Suite 7
Pueblo, CO 81006-1497

2403 Santa Fe Dr
Pueblo, CO 81006-1497
Phone (719) 543-7894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3666COMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr David W Pool PC CurrentSince Jun 17, 2010 Accepting new patients

Locations

2403 Santa Fe Dr
Ste 7
Pueblo, CO 81006
Phone (719) 404-1489

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1528049319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SANTA FE DR",
            "address_2": "SUITE 7",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061497",
            "telephone_number": "719-543-7894",
            "fax_number": "719-546-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SANTA FE DR",
            "address_2": "SUITE 7",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061497",
            "telephone_number": "719-543-7894",
            "fax_number": "719-546-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.