Individual provider Active NPI

Nathaniel Alan Worden, DC

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1285255828
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14424 Issued in TX
Practice address
1450 Hughes Rd Ste 250
Grapevine, TX 76051-7364
Phone
(402) 366-0246
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14424 TX Primary

Addresses

Primary practice location

1450 Hughes Rd Ste 250
Grapevine, TX 76051-7364

Mailing address

1450 Hughes Rd Ste 250
Grapevine, TX 76051-7364
Phone (402) 366-0246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200512003749 TX Practitioner - Chiropractic 4284065947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moulton ChiropracticGroup PAC ID 7214361799, 2 clinicians

Practice addresses (Care Compare)

2131 Kirkwood Blvd
Suite 120
Southlake, TX 76092-1530
Phone (817) 251-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brennan Riche D.C. Chiropractor CurrentSince May 10, 2020 Accepting new patients
Moulton Chiropractic Chiropractor CurrentSince May 6, 2020 Accepting new patients

Locations

1450 Hughes Rd
Ste 250
Grapevine, TX 76051
Phone (318) 359-9853

2131 Kirkwood Blvd
Ste 120
Southlake, TX 76092
Phone (817) 251-7250

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1285255828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 HUGHES RD STE 250",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517364",
            "telephone_number": "402-366-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HUGHES RD STE 250",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517364",
            "telephone_number": "402-366-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEN",
        "first_name": "NATHANIEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.