Innate Expression

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12847 Issued in TX

Legal business name

INNATE EXPRESSION

Practice address

5920 W William Cannon Dr
Building 7, Suite 100
Austin, TX 78749-1902

Phone

(512) 956-7449

Fax

(512) 727-0394

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Trevor Colm, D.C.

Title

Owner

Phone

(214) 226-2975

Specialties & licenses 1

Addresses

Other names 1

• Colm Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1912366154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 W WILLIAM CANNON DR",
            "address_2": "BUILDING 7, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491902",
            "telephone_number": "512-956-7449",
            "fax_number": "512-727-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 W WILLIAM CANNON DR",
            "address_2": "BUILDING 7, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491902",
            "telephone_number": "512-956-7449",
            "fax_number": "512-727-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE EXPRESSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "COLM",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-226-2975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colm Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Austin, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.