Individual provider Active NPI

Courtney M Bush, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1063392488
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16521 Issued in TX
Practice address
9669 N Central Expy Ste 200
Dallas, TX 75231-5054
Phone
(214) 265-9000
Fax
(214) 696-1757
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16521 TX Primary

Addresses

Primary practice location

9669 N Central Expy Ste 200
Dallas, TX 75231-5054

Mailing address

3100 Carlisle St Apt 15103
Dallas, TX 75204-1563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918002012 TX Practitioner - Chiropractic 2163926536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Chiro Med PLLCGroup PAC ID 5294118626, 2 clinicians

Practice addresses (Care Compare)

9669 N Central Expy
Suite 200
Dallas, TX 75231-5054
Phone (214) 265-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16521TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Chiro Med PLLC Chiropractor CurrentSince Sep 5, 2025 Accepting new patients

Locations

9669 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 265-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1063392488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CARLISLE ST APT 15103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 N CENTRAL EXPY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315054",
            "telephone_number": "214-265-9000",
            "fax_number": "214-696-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.