Active NPI
Omar Jose Colon, DC
- Chiropractor
- Doral, FL
National Provider Identifier
1649774233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12299
- Practice address
- 8726 NW 26TH St Ste 16
Doral, FL 33172-1628 - Phone
- (305) 477-7976
- Fax
- (305) 629-9187
- NPI assigned
- Mar 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12299 | FL | Primary |
Addresses
Primary practice location
8726 NW 26TH St Ste 16
Doral, FL 33172-1628
Mailing address
8726 NW 26TH St Ste 16
Doral, FL 33172-1628
Phone (305) 477-7976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190201000584 | FL | Practitioner - Chiropractic | 3870830649 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12299 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1649774233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8726 NW 26TH ST STE 16",
"city": "DORAL",
"state": "FL",
"postal_code": "331721628",
"telephone_number": "305-477-7976",
"fax_number": "305-629-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8726 NW 26TH ST STE 16",
"city": "DORAL",
"state": "FL",
"postal_code": "331721628",
"telephone_number": "305-477-7976",
"fax_number": "305-629-9187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "OMAR",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.