Active NPI
David Michael Carlson, D.C., P.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1700914967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3713
- Practice address
- 3030 N Hancock Ave
Suite D
Colorado Springs, CO 80907-5761 - Phone
- (719) 632-1589
- Fax
- (719) 632-1655
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1558544494
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1912 W Uintah St
Colorado Springs, CO 80904-2740
Phone (719) 632-1589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101209001282 | CO | Practitioner - Chiropractic | 4486647302 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3713 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. David M. Carlson DC, PC | Chiropractor | Current | Accepting new patients |
Locations
3030 N Hancock Ave
Apt D
Colorado Springs, CO 80907
Phone (719) 304-4531
1912 W Uintah St
Colorado Springs, CO 80904
Phone (719) 632-1589
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3713 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3030 N Hancock Ave
Suite D
Colorado Springs, CO 80907-5761
Mailing address
3030 N Hancock St.
Suite D
Colorado Springs, CO 80907
Phone (719) 632-1589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2012.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1700914967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N HANCOCK ST.",
"address_2": "SUITE D",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-632-1589",
"fax_number": "719-632-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N HANCOCK AVE",
"address_2": "SUITE D",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075761",
"telephone_number": "719-632-1589",
"fax_number": "719-632-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C., P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3713",
"primary": true
}
],
"identifiers": [],
"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 Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.