Individual provider Active NPI

Donald Colwell, D.C.

  • Chiropractor
  • Beaumont, TX
National Provider Identifier
1699799114
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2620 Issued in TX
Practice address
324 N 23Rd St
Ste 201
Beaumont, TX 77707-2241
Phone
(409) 839-4600
Fax
(409) 833-0086
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2620 TX Primary

Addresses

Primary practice location

324 N 23Rd St
Ste 201
Beaumont, TX 77707-2241

Mailing address

324 N 23Rd St
Ste 201
Beaumont, TX 77707-2241
Phone (409) 839-4600

Other identifiers 1

IdentifierTypeStateIssuer
081498002MedicaidTX

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

LicenseStateTypeSpecialty
2620TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1699799114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N 23RD ST",
            "address_2": "STE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072241",
            "telephone_number": "409-839-4600",
            "fax_number": "409-833-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N 23RD ST",
            "address_2": "STE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072241",
            "telephone_number": "409-839-4600",
            "fax_number": "409-833-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081498002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.