Spine Time PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10235 Issued in TX

Legal business name

SPINE TIME PA

Practice address

4702 Northwest Hwy
Garland, TX 75043-4912

Phone

(972) 270-5333

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dennis Wayne Williamson, D.C.NPI 1346397080

Title

Ceo

Phone

(214) 563-1790

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Wayne Williamson, D.C.

  • Chiropractor
  • Garland, TX
  • NPI 1346397080
  Medicare reassignment NPD Authorized official
• Ismael Gonzalez, DC

  • Chiropractor
  • Plano, TX
  • NPI 1033725544
  Medicare reassignment NPD
• Darla Kay Kelly, D.C.

  • Chiropractor
  • Garland, TX
  • NPI 1821035833
  NPD (past)
• Saisindura Pasupuleti, D.C, M.S

  • Chiropractor
  • Dallas, TX
  • NPI 1639984073
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1003005646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434912",
            "telephone_number": "972-270-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434912",
            "telephone_number": "972-270-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 N Town East Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751504726",
            "country_code": "US",
            "telephone_number": "469-677-0232",
            "fax_number": "469-677-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE TIME PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-563-1790",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10235",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "10235",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jay Spector, DPM
• Speech Wings, LLC
• Amy Catherine Speer, PA
• Lori Ann Spies, RN NP
• Tierra Spiller
• Spine-X Solutions
• Spines R US Incorporated
• Frank Freeman Splann Jr., M.D.
• Springfield Senior Living LLC
• Montana Squires, LPC ASSOCIATE

• Chiropractor in Garland, TX
• Providers in Garland, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.