John Austin Colvill, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60876409 Issued in WA

Practice address

6565 Kimball Dr Ste 101
Gig Harbor, WA 98335-1269

Phone

(253) 857-9100

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smith Chiropractic IncGroup PAC ID 5092852335, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Smith Chiropractic Inc

  • Chiropractor
  • Bremerton, WA
  • NPI 1164757555
  Medicare reassignment Care Compare group NPD
• Colvill Chiropractic, Inc

  • Chiropractor
  • Gig Harbor, WA
  • NPI 1790348092
  Authorized official Same address or phone
• John Duppenthaler DC PS

  dba Duppenthaler Family Chiropractic

  • Chiropractor
  • Gig Harbor, WA
  • NPI 1144417221
  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1871066332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 ROOSEVELT WAY NE APT 611",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 KIMBALL DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351269",
            "telephone_number": "253-857-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVILL",
        "first_name": "JOHN",
        "middle_name": "AUSTIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60876409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Vision Corporation (Target Optical #C4225)
• Anna Christine Colombini, N.D
• Rose-Marie J Colombini, DO
• Mary Lee Colter, MD
• Colvill Chiropractic, Inc
• Diane Linville Combs, MD
• Commonspirit Washington (St. Anthony Hospital)
• Commonspirit Washington (St Joseph Cardiothoracic Surgeons)
• Commonspirit Washington (Franciscan Pharmacy - St Anthony)
• Commonspirit Washington (Franciscan Pharmacy St Anthony)

• Chiropractor in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.