Active NPI
William Bryan Schlackman, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1124519798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13804
- Practice address
- 501 Carroll St Ste 612
Fort Worth, TX 76107-8201 - Phone
- (817) 348-8488
- Fax
- (817) 348-8448
- NPI assigned
- May 19, 2018
- 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 | 13804 | TX | Primary |
Addresses
Primary practice location
501 Carroll St Ste 612
Fort Worth, TX 76107-8201
Mailing address
501 Carroll St Ste 612
Fort Worth, TX 76107-8201
Phone (817) 348-8488
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTW Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
| Reclaim Physicians Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCGGCD/Endpoint/FCGGCD
Organizations & group practices 2
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
- Fort Worth, TX
- NPI 1265619860
-
- Family Medicine Physician
- Grapevine, TX
- NPI 1811418023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526688000000",
"number": "1124519798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 CARROLL ST STE 612",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761078201",
"telephone_number": "817-348-8488",
"fax_number": "817-348-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 CARROLL ST STE 612",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761078201",
"telephone_number": "817-348-8488",
"fax_number": "817-348-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLACKMAN",
"first_name": "WILLIAM",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-19",
"last_updated": "2018-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.