Active NPI
David L Headley, DO
- Medical Oncology Physician
- Colorado Springs, CO
National Provider Identifier
1881682128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 23965
- Practice address
- 2312 N Nevada Ave Ste 400
Colorado Springs, CO 80907-5320 - Phone
- (719) 577-2555
- Fax
- (719) 577-2553
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 23965 | CO | Primary |
Addresses
Primary practice location
2312 N Nevada Ave Ste 400
Colorado Springs, CO 80907-5320
Mailing address
7951 E Maplewood Ave
Suite 300
Greenwood Village, CO 80111-4723
Phone (303) 930-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01239656 | Medicaid | CO |
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
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23965 | CO | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khalid Chowdhury MD, PC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1881682128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 E MAPLEWOOD AVE",
"address_2": "SUITE 300",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114723",
"telephone_number": "303-930-7800",
"fax_number": "303-930-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 N NEVADA AVE STE 400",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075320",
"telephone_number": "719-577-2555",
"fax_number": "719-577-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADLEY",
"first_name": "DAVID",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CO",
"license": "23965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01239656",
"state": "CO"
}
],
"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 Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.