Individual provider Active NPI

David Paul Thrash, D.C.

  • Chiropractor
  • Orange, TX
National Provider Identifier
1295703668
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1249 Issued in AR
Practice address
2315 N 16TH St
Orange, TX 77630-2329
Phone
(409) 886-7246
Fax
(409) 886-1219
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10949 TX
Chiropractor 111N00000X 1249 AR Primary

Addresses

Primary practice location

2315 N 16TH St
Orange, TX 77630-2329

Mailing address

11025 Arbor Wood
Beaumont, TX 77705-4425
Phone (409) 886-7246

Other identifiers 1

IdentifierTypeStateIssuer
119222718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000480 TX Practitioner - Chiropractic 1052459229 Practice locations: Orange, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2315 N 16TH St
Orange, TX 77630-2329
Phone (409) 886-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1249ARMDChiropractor
10949TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrash Chiropractic Clinic Chiropractor CurrentSince Oct 14, 2009 Accepting new patients

Locations

332 E Cook St
Forrest City, AR 72335
Phone (870) 630-2233

2315 N 16th St
Orange, TX 77630
Phone (409) 886-7246

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1295703668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 ARBOR WOOD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777054425",
            "telephone_number": "409-886-7246",
            "fax_number": "409-886-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776302329",
            "telephone_number": "409-886-7246",
            "fax_number": "409-886-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASH",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10949",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119222718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.