Colin Christopher Dolan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2023026689 Issued in MO

Practice address

20 Progress Point Pkwy
Ste 220
O Fallon, MO 63368-2206

Phone

(636) 344-3333

Fax

(636) 344-3334

NPI assigned

Jun 28, 2022

Last updated

Jul 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wuca-O'Fallon Pediatrics, LLC

  • Pediatrics Physician
  • O'Fallon, MO
  • NPI 1366830572
  Medicare reassignment NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1629700794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412027",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742027",
            "telephone_number": "636-344-3333",
            "fax_number": "636-344-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROGRESS POINT PKWY",
            "address_2": "STE 220",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682206",
            "telephone_number": "636-344-3333",
            "fax_number": "636-344-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "COLIN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2023026689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "20 Progress Point Pkwy",
            "address_2": "Ste 220",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633682206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• McKayla M Dinwiddie, MD
• Direct Connection Chiropractic, LLC
• Dylan Thomas Dix, DC
• Tuyet K Doan, O.D.
• Amanda Dobbs, M.H.S., CCC-SLP
• Mark Jeffrey Dolson, DDS,PC
• Carly Donahue, PT, DPT
• Rachel Dorman, NP
• Rosemary May Doss, D.P.T.
• Jeff M Dougherty, D.M.D

• Pediatrics Physician in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.