Active NPI
David Walter Coleman, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1265458236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC5953
- Practice address
- 4200 South Fwy
602
Fort Worth, TX 76115-1400 - Phone
- (817) 923-4357
- Fax
- (817) 923-2063
- NPI assigned
- Jul 14, 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 | DC5953 | TX | Primary |
Addresses
Primary practice location
4200 South Fwy
602
Fort Worth, TX 76115-1400
Mailing address
4200 South Fwy
602
Fort Worth, TX 76115-1400
Phone (817) 923-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116732201 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC5953 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Pain Centers, PC | Past | Accepting new patients |
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.
-
- Orthopedic Chiropractor
- Plano, TX
- NPI 1902979685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1265458236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SOUTH FWY",
"address_2": "602",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761151400",
"telephone_number": "817-923-4357",
"fax_number": "817-923-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SOUTH FWY",
"address_2": "602",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761151400",
"telephone_number": "817-923-4357",
"fax_number": "817-923-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "DAVID",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC5953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116732201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.