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
- Last updated
- 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 | Speech-Language Pathologist |
Organizations & group practices 1
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": "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.