Individual provider Active NPI

Trevor James Swanson, D.C.

  • Chiropractor
  • Atlanta, TX
National Provider Identifier
1184636888
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8078 Issued in TX
Practice address
806 W Main St
Suite a
Atlanta, TX 75551-3429
Phone
(903) 796-2060
Fax
(903) 796-9553
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8078 TX Primary

Addresses

Primary practice location

806 W Main St
Suite a
Atlanta, TX 75551-3429

Mailing address

PO Box 717
Atlanta, TX 75551-0717
Phone (903) 796-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000121 TX Practitioner - Chiropractic 5698949220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swanson Family Chiropractic P.C.Group PAC ID 0143494773, 2 clinicians

Practice addresses (Care Compare)

806 W Main St
Suite 2
Atlanta, TX 75551-3429
Phone (903) 796-2060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8078TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Swanson Family Chiropractic P.C. Chiropractor CurrentSince Mar 18, 1999 Accepting new patients

Locations

806 W Main St
Atlanta, TX 75551
Phone (903) 296-2060

4206 Richmond Pl
Texarkana, TX 75503
Phone (903) 499-6369

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184636888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755510717",
            "telephone_number": "903-796-2060",
            "fax_number": "903-796-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W MAIN ST",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513429",
            "telephone_number": "903-796-2060",
            "fax_number": "903-796-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TREVOR",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, TX

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.
  • 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.

Verify at the official NPI Registry.