Individual provider Active NPI

Carlos Manuel Vazquez, DC

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1073705331
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10517 Issued in TX
Practice address
2017 S Cooper St
Arlington, TX 76010-5537
Phone
(817) 265-5200
Fax
(817) 795-8100
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10517 TX Primary

Addresses

Primary practice location

2017 S Cooper St
Arlington, TX 76010-5537

Mailing address

PO Box 150272
Arlington, TX 76015-6272
Phone (817) 265-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000668 TX Practitioner - Chiropractic 6305983925 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10517TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
World Medical Group PLLC Chiropractor CurrentSince Sep 1, 2017 Accepting new patients
Expressions Chiropractic & Rehab Center, PA Chiropractor CurrentSince Feb 15, 2024 Accepting new patients
World Medical Group PLLC Chiropractor CurrentSince Sep 1, 2017 Accepting new patients
VM Family Chiropractic Chiropractor Past Accepting new patients
VM Family Chiropractic Chiropractor Past Accepting new patients

Locations

2017 S Cooper St
Arlington, TX 76010
Phone (817) 265-5200

510 W FM 1382
Cedar Hill, TX 75104
Phone (972) 291-4455

Organizations & group practices 5

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1073705331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150272",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760156272",
            "telephone_number": "817-265-5200",
            "fax_number": "817-795-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105537",
            "telephone_number": "817-265-5200",
            "fax_number": "817-795-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.