Active NPI
Trevor Colm, DC
- Chiropractor
- Austin, TX
National Provider Identifier
1679938609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12847
- Practice address
- 5920 W William Cannon Dr
Building 7, Suite 100
Austin, TX 78749-1902 - Phone
- (512) 956-7449
- NPI assigned
- Dec 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 12847 | TX | Primary |
Addresses
Primary practice location
5920 W William Cannon Dr
Building 7, Suite 100
Austin, TX 78749-1902
Mailing address
5920 W William Cannon Dr
Building 7, Suite 100
Austin, TX 78749-1902
Phone (512) 956-7449
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12847 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1679938609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 W WILLIAM CANNON DR",
"address_2": "BUILDING 7, SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491902",
"telephone_number": "512-956-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 W WILLIAM CANNON DR",
"address_2": "BUILDING 7, SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491902",
"telephone_number": "512-956-7449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLM",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.