Individual provider Active NPI

Kevin Wayne Farrar, D.C.

  • Chiropractor
  • Plano, TX
National Provider Identifier
1235422148
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11751 Issued in TX
Practice address
6300 Stonewood Dr Ste 100
Plano, TX 75024-5282
Phone
(972) 964-7000
Fax
(972) 964-7005
NPI assigned
May 25, 2011
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11751 TX Primary

Addresses

Primary practice location

6300 Stonewood Dr Ste 100
Plano, TX 75024-5282

Mailing address

6300 Stonewood Dr Ste 100
Plano, TX 75024-5282
Phone (972) 964-7000

Other practice location 1

8400 Stacy Rd Ste 400
McKinney, TX 75070-2144
Phone (972) 332-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000125 TX Practitioner - Chiropractic 4789825670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6300 Stonewood Dr
Suite 100
Plano, TX 75024-5282
Phone (972) 964-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11751TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Farrar Chiropractic, LLC Chiropractor CurrentSince Mar 13, 2018 Accepting new patients

Locations

8400 Stacy Rd
Ste 400
McKinney, TX 75070
Phone (972) 332-5900

4152 W Spring Creek Pkwy
Ste 116
Plano, TX 75024
Phone (972) 964-7000

6300 Stonewood Dr
Ste 100
Plano, TX 75024
Phone (972) 964-7000

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

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1235422148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245282",
            "telephone_number": "972-964-7000",
            "fax_number": "972-964-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245282",
            "telephone_number": "972-964-7000",
            "fax_number": "972-964-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 Stacy Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750702144",
            "country_code": "US",
            "telephone_number": "972-332-5900",
            "fax_number": "972-964-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-07-19",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.