Gordon Payne II, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12003 Issued in TX

Practice address

1017 Long Prairie Rd Ste 202
Flower Mound, TX 75022-4224

Phone

(469) 453-2800

NPI assigned

Mar 22, 2012

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proform Clinics LLC

  • Chiropractor
  • Flower Mound, TX
  • NPI 1528607330
  Authorized official Same address or phone
• Teamchiro Texas LLC

  • Chiropractor
  • Highland Village, TX
  • NPI 1457612137
  NPD (past) Authorized official

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1184999203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 LONG PRAIRIE RD STE 202",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224224",
            "telephone_number": "469-453-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 LONG PRAIRIE RD STE 202",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224224",
            "telephone_number": "469-453-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "GORDON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick W. Shovlin III, MD, PA
• Joshua Patterson, PA
• William R Patterson, DDS, MS
• Katelyn Patton, BCBA
• Paulina Pawlikowski, FNP-C
• Rachel Payne, LMFT-ASSOCIATE
• Elizabeth A Pearch, DO
• Katheryn Nicole Pearson, M.ED,LPC-A
• Kevin M Pederson, D.C.
• Pediatric & Family Physicians PA

• Chiropractor in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.