Active NPI
Gideon Traweek, D.C.
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1295966133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10322
- Practice address
- 3625 Western Center Blvd
Fort Worth, TX 76137-1936 - Phone
- (817) 498-7333
- Fax
- (817) 581-2866
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 10322 | TX | Primary |
Addresses
Primary practice location
3625 Western Center Blvd
Fort Worth, TX 76137-1936
Mailing address
PO Box 121309
Fort Worth, TX 76121-1305
Phone (817) 498-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3625 Western Ctr Blvd
Ft Worth, TX 76137-1936
Phone (817) 498-7333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10322 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Worth Health Alliance, LLC | Current | Accepting new patients | |
| Todd Ruland D C P C | Chiropractor | Past | Accepting new patients |
Locations
3625 Western Center Blvd
Ft Worth, TX 76137
Phone (817) 498-7333
Organizations & group practices 3
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.
-
- Chiropractor
- Ft Worth, TX
- NPI 1053746313
-
- General Practice Physician
- Fort Worth, TX
- NPI 1376053215
-
- Chiropractor
- Fort Worth, TX
- NPI 1518088624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1295966133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121309",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761211305",
"telephone_number": "817-498-7333",
"fax_number": "817-581-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 WESTERN CENTER BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761371936",
"telephone_number": "817-498-7333",
"fax_number": "817-581-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAWEEK",
"first_name": "GIDEON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10322",
"primary": true
}
],
"identifiers": [],
"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 Jul 27, 2009; 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.