Individual provider Active NPI

Paul Lucas Fowler, D.C.

  • Chiropractor
  • Cedar Hill, TX
National Provider Identifier
1295075448
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12251 Issued in TX
Practice address
510 W FM 1382
Cedar Hill, TX 75104-5322
Phone
(972) 291-4455
Fax
(972) 291-5976
NPI assigned
Feb 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12251 TX Primary

Addresses

Primary practice location

510 W FM 1382
Cedar Hill, TX 75104-5322

Mailing address

510 W FM 1382
Cedar Hill, TX 75104-5322
Phone (972) 291-4455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130409000613 TX Practitioner - Chiropractic 5799921136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1999 Bryan St
Suite 850
Dallas, TX 75201-3170
Phone (214) 969-6999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expressions Chiropractic & Rehab Center, PA Chiropractor CurrentSince Feb 26, 2013 Accepting new patients
Expressions Chiropractic of Dallas, PC Chiropractor CurrentSince Feb 18, 2017 Accepting new patients

Locations

510 W FM 1382
Cedar Hill, TX 75104
Phone (972) 291-4455

601 N Akard St
Dallas, TX 75201
Phone (214) 969-6999

1999 Bryan St
Ste 850
Dallas, TX 75201
Phone (214) 969-6999

601 N Akard St
Ste 202
Dallas, TX 75201
Phone (469) 348-8696

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": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1295075448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W FM 1382",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045322",
            "telephone_number": "972-291-4455",
            "fax_number": "972-291-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W FM 1382",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045322",
            "telephone_number": "972-291-4455",
            "fax_number": "972-291-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "PAUL",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.