Individual provider Active NPI

Josh Paek, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1295158939
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12412 Issued in TX
Practice address
10611 Garland Rd Ste 220
Dallas, TX 75218-4803
Phone
(972) 989-8547
Fax
(979) 317-7707
NPI assigned
Jan 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 12412 TX Primary

Addresses

Primary practice location

10611 Garland Rd Ste 220
Dallas, TX 75218-4803

Mailing address

309 W Dallas St
Hutchins, TX 75141-3024
Phone (972) 989-8547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826000073 TX Practitioner - Chiropractic 3173741683 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)

6853 Coit Rd
Suite 200
Plano, TX 75024-5466
Phone (972) 989-8547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12412TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Associates PLLC Chiropractor CurrentSince Apr 17, 2024 Accepting new patients
Clear Associates PLLC Chiropractor CurrentSince Feb 4, 2024 Accepting new patients

Locations

8355 Walnut Hill Ln
Ste 200
Dallas, TX 75231
Phone (214) 369-3303

10611 Garland Rd
Ste 220
Dallas, TX 75218
Phone (972) 989-8547

6853 Coit Rd
Ste 200
Plano, TX 75024
Phone (972) 208-0101

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1295158939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W DALLAS ST",
            "city": "HUTCHINS",
            "state": "TX",
            "postal_code": "751413024",
            "telephone_number": "972-989-8547",
            "fax_number": "979-317-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184803",
            "telephone_number": "972-989-8547",
            "fax_number": "979-317-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEK",
        "first_name": "JOSH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.