Individual provider Active NPI

Devin Colburn, DC

  • Chiropractor
  • Leander, TX
National Provider Identifier
1528729258
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15333 Issued in TX
Practice address
2906 S Bagdad Rd BLDG 2
Leander, TX 78641-3268
Phone
(678) 221-1008
NPI assigned
Jan 5, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010599 GA
Chiropractor 111N00000X 15333 TX Primary

Addresses

Primary practice location

2906 S Bagdad Rd BLDG 2
Leander, TX 78641-3268

Mailing address

7815 Hobgood Rd
Fairburn, GA 30213-2673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230228000915 TX Practitioner - Chiropractic 5193198885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2500 S Bagdad Rd
Leander, TX 78641-2306
Phone (512) 456-7825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010599GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colburn Chiropractic PLLC Chiropractor CurrentSince Feb 1, 2023 Accepting new patients
Crystal Falls Chiropractic & Injury Center of Leander Chiropractor Current Accepting new patients

Locations

2500 S Bagdad Rd
Leander, TX 78641
Phone (512) 456-7825

2906 S Bagdad Rd
Leander, TX 78641
Phone (512) 243-6434

2906 S Bagdad Rd
Bldg 2
Leander, TX 78641
Phone (678) 221-1008

2906 S Bagdad Rd
Ste 230
Leander, TX 78641
Phone (310) 743-6543

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1528729258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 HOBGOOD RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 S BAGDAD RD BLDG 2",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413268",
            "telephone_number": "678-221-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010599",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.