Active NPI
Savana Waller, DC
- Chiropractor
- Mount Pleasant, TX
National Provider Identifier
1043019441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16374
- Practice address
- 1318 S Jefferson Ave
Mount Pleasant, TX 75455-5355 - Phone
- (903) 572-1128
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16374 | TX | Primary |
Addresses
Primary practice location
1318 S Jefferson Ave
Mount Pleasant, TX 75455-5355
Mailing address
393 FM 1880
Cooper, TX 75432-8604
Phone (903) 348-3193
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16374 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1043019441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 FM 1880",
"city": "COOPER",
"state": "TX",
"postal_code": "754328604",
"telephone_number": "903-348-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 S JEFFERSON AVE",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754555355",
"telephone_number": "903-572-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "SAVANA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "16374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.