Individual provider Active NPI

David Michael Carlson, D.C., P.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1700914967
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3713 Issued in CO
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.

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 IDStateProvider typePAC IDDetails
I20101209001282 CO Practitioner - Chiropractic 4486647302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3713COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David M. Carlson DC, PC Chiropractor CurrentSince Feb 1, 2001 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)CodeLicenseStatePrimary
Chiropractor 111N00000X 3713 CO Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.