Individual provider Active NPI

Steven Dotson, DC

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1235457342
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5240 Issued in KY
Practice address
5509 Colleyville Blvd
Ste. 100
Colleyville, TX 76034-7802
Phone
(817) 479-0055
Fax
(817) 479-0058
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5240 KY Primary

Addresses

Primary practice location

5509 Colleyville Blvd
Ste. 100
Colleyville, TX 76034-7802

Mailing address

5509 Colleyville Blvd
Suite 100
Colleyville, TX 76034-7802
Phone (817) 479-0055

Other identifiers 1

IdentifierTypeStateIssuer
7100122890MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5240KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Optical, PLLC PastSince Aug 2, 2025 Accepting new patients
Chiro One Wellness Center of Winchester PLLC Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1235457342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 COLLEYVILLE BLVD",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347802",
            "telephone_number": "817-479-0055",
            "fax_number": "817-479-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 COLLEYVILLE BLVD",
            "address_2": "STE. 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347802",
            "telephone_number": "817-479-0055",
            "fax_number": "817-479-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "STEVEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100122890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

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