Organization Active NPI

Bloodworth Chiropractic LLC

Doing business as FreeForm Chiropractic West Plano

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1063218998
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLOODWORTH CHIROPRACTIC LLC
Doing business as
FreeForm Chiropractic West Plano
Practice address
3204 E Hebron Pkwy
Suite 230
Carrollton, TX 75007
Phone
(214) 403-1222
NPI assigned
Feb 21, 2025
Last updated
Feb 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Authorized official

Name
Dr. David Bloodworth, DCNPI 1144082355
Title
Owner
Phone
(214) 403-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3204 E Hebron Pkwy
Suite 230
Carrollton, TX 75007

Mailing address

5715 Caladium Dr
Dallas, TX 75230-2623
Phone (214) 403-1222

Other names 1

  • FreeForm Chiropractic West Plano Doing business as

National Provider Directory

National Provider Directory

Locations

3204 E Hebron Pkwy
Ste 230
Carrollton, TX 75010
Phone (214) 403-1222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740268800000",
    "number": "1063218998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 CALADIUM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302623",
            "telephone_number": "214-403-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 E HEBRON PKWY",
            "address_2": "SUITE 230",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75007",
            "telephone_number": "214-403-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOODWORTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "BLOODWORTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-403-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FreeForm Chiropractic West Plano",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FreeForm Chiropractic West Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 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.

Verify at the official NPI Registry.