Gale Melvin Macziewski Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10535 Issued in TX

Practice address

815 Royal Blvd
Suite 1
Trinidad, TX 75163

Phone

(903) 292-4610

Fax

(903) 386-1708

NPI assigned

Oct 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic of Coppell

  • Clinic/Center
  • Coppell, TX
  • NPI 1083899207
  NPD (past) Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1144418344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 ROYAL BLVD",
            "address_2": "SUITE 1",
            "city": "TRINIDAD",
            "state": "TX",
            "postal_code": "75163",
            "telephone_number": "903-292-4610",
            "fax_number": "903-386-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 ROYAL BLVD",
            "address_2": "SUITE 1",
            "city": "TRINIDAD",
            "state": "TX",
            "postal_code": "75163",
            "telephone_number": "903-292-4610",
            "fax_number": "903-386-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACZIEWSKI",
        "first_name": "GALE",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cedar Lake Nursing Services, Inc (Cedar Lake Home Health and Hospice)
• Dlkpac PLLC
• John L Sawtelle DO PA
• Deborah A Kelley, PAC
• Wallace Grey Newman, DDS
• Tim Peele, D.C.
• John L Sawtelle, DO
• Trinidad I.S.D.
• Tammy Womack, APRN, FNP-C

• Chiropractor in Trinidad, TX
• Providers in Trinidad, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.