NPIMap

Organization Active NPI

Daltak

  • Orthopedic Chiropractor
  • Desoto, TX
National Provider Identifier
1073708160
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
4574 Issued in TX
Legal business name
DALTAK
Practice address
314 S Hampton Rd
Desoto, TX 75115-5746
Phone
(972) 223-5055
Fax
(972) 223-5353
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. David C. Baugher, DCNPI 1841349750
Title
Owner
Phone
(972) 223-5055

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 4574 TX Primary

Addresses

Primary practice location

314 S Hampton Rd
Desoto, TX 75115-5746

Mailing address

314 S Hampton Rd
Desoto, TX 75115-5746
Phone (972) 223-5055

Other identifiers 2

IdentifierTypeStateIssuer
0038 PMOtherTXBCBSTX GROUP NO.
8X9480OtherTXBCBSTX PROVIDER NO.

Other names 1

  • DeSoto Wellness & Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

314 S Hampton Rd
Desoto, TX 75115
Phone (972) 223-5055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1073708160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155746",
            "telephone_number": "972-223-5055",
            "fax_number": "972-223-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155746",
            "telephone_number": "972-223-5055",
            "fax_number": "972-223-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "BAUGHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-223-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "TX",
            "license": "4574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GROUP NO.",
            "identifier": "0038 PM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NO.",
            "identifier": "8X9480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeSoto Wellness & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.