Active NPI
Greg Walter Waldrip, DC
- Chiropractor
- Abileue, TX
National Provider Identifier
1104935857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4381 DC
- Practice address
- 3301 N 3Rd #134
Abileue, TX 79603 - Phone
- (325) 676-7444
- Fax
- (325) 672-5040
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4381 DC | TX | Primary |
Addresses
Primary practice location
3301 N 3Rd #134
Abileue, TX 79603
Mailing address
3301 N 3Rd #134
Abileue, TX 79603
Phone (325) 676-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86791Y | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4381 DC | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldrip Chirporactic Clinic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Abilene, TX
- NPI 1396960084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104935857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 N 3RD #134",
"city": "ABILEUE",
"state": "TX",
"postal_code": "79603",
"telephone_number": "325-676-7444",
"fax_number": "325-672-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 N 3RD #134",
"city": "ABILEUE",
"state": "TX",
"postal_code": "79603",
"telephone_number": "325-676-7444",
"fax_number": "325-672-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRIP",
"first_name": "GREG",
"middle_name": "WALTER",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4381 DC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86791Y",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.