Individual provider Active NPI

Pamela V. Ford, D.C.

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1053624072
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11512 Issued in TX
Practice address
2340 E Trinity Mills Rd
Suite 225
Carrollton, TX 75006-1942
Phone
(469) 231-1510
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11512 TX Primary

Addresses

Primary practice location

2340 E Trinity Mills Rd
Suite 225
Carrollton, TX 75006-1942

Mailing address

2340 E Trinity Mills Rd
Suite 225
Carrollton, TX 75006-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000953 TX Practitioner - Chiropractic 5193918571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2340 E Triinity Mills Rd
Suite 225
Carrollton, TX 75006-1939
Phone (469) 546-0325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11512TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Chiropractic & Family Wellness Center CurrentSince Jul 28, 2010 Accepting new patients

Locations

2340 E Trinity Mills Rd
Ste 225
Carrollton, TX 75006
Phone (469) 231-1510

2340 E Trinity Mills Rd
#2
Carrollton, TX 75006
Phone (469) 546-0325

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.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1053624072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD",
            "address_2": "SUITE 225",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD",
            "address_2": "SUITE 225",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061942",
            "telephone_number": "469-231-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "PAMELA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.