Active NPI
David L Baswell, M.D.
- Pediatrics Physician
- Colorado Springs, CO
National Provider Identifier
1669474953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 26053
- Practice address
- 3205 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5147 - Phone
- (719) 632-5700
- NPI assigned
- Jun 1, 2005
- Last updated
- Mar 17, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 26053 | CO | Primary |
Addresses
Primary practice location
3205 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5147
Mailing address
3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700
Other practice location 1
6190 Barnes Rd
Colorado Springs, CO 80922-2600
Phone (719) 596-4502
Other practice location 2
6190 Barnes Rd
Colorado Springs, CO 80922-2600
Phone (719) 596-4502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01260538 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26053 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669474953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 N ACADEMY BLVD STE 130",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175152",
"telephone_number": "719-632-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 N ACADEMY BLVD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175147",
"telephone_number": "719-632-5700"
}
],
"practiceLocations": [
{
"address_1": "6190 Barnes Rd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809222600",
"country_code": "US",
"telephone_number": "719-596-4502",
"fax_number": "719-597-2668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6190 Barnes Rd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809222600",
"country_code": "US",
"telephone_number": "719-596-4502",
"fax_number": "719-597-2668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASWELL",
"first_name": "DAVID",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "26053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01260538",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.