Active NPI
David E Phipps, DC
- Chiropractor
- Richardson, TX
National Provider Identifier
1164417911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4280
- Practice address
- 1200 E Collins Blvd
Ste 108
Richardson, TX 75081-2417 - Phone
- (972) 437-5800
- Fax
- (972) 437-5850
- NPI assigned
- Sep 19, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4280 | TX | Primary |
Addresses
Primary practice location
1200 E Collins Blvd
Ste 108
Richardson, TX 75081-2417
Mailing address
1200 E Collins Blvd
Ste 108
Richardson, TX 75081-2417
Phone (972) 437-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111201000386 | TX | Practitioner - Chiropractic | 4082888052 | Practice locations: Richardson, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 E Collins Blvd
Suite 108
Richardson, TX 75081-2417
1200 E Collins Blvd
Suite 108
Richardson, TX 75081-2448
Phone (972) 437-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4280 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1164417911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E COLLINS BLVD",
"address_2": "STE 108",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812417",
"telephone_number": "972-437-5800",
"fax_number": "972-437-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E COLLINS BLVD",
"address_2": "STE 108",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812417",
"telephone_number": "972-437-5800",
"fax_number": "972-437-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "DAVID",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2017-01-31",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.