Individual provider Active NPI

Donald Macmullin, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1336868363
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15286 Issued in TX
Practice address
7315 S Hulen St
Fort Worth, TX 76133-6616
Phone
(817) 346-0453
Fax
(817) 346-0967
NPI assigned
Aug 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 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 15286 TX Primary

Addresses

Primary practice location

7315 S Hulen St
Fort Worth, TX 76133-6616

Mailing address

7315 S Hulen St
Fort Worth, TX 76133-6616
Phone (817) 346-0453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424002136 TX Practitioner - Chiropractic 3072951078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Spine and Wellness PLLCGroup PAC ID 2163860164, 2 clinicians

Practice addresses (Care Compare)

7315 S Hulen St
Fort Worth, TX 76133-6616
Phone (707) 630-1577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15286TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hulen Chiropractic Clinic PLLC Chiropractor CurrentSince Mar 31, 2024 Accepting new patients
Prime Spine and Wellness PLLC Chiropractor CurrentSince Mar 29, 2024 Accepting new patients

Locations

7315 S Hulen St
Fort Worth, TX 76133
Phone (707) 630-1577

200 Wj Boaz Rd
Ste 200
Saginaw, TX 76179
Phone (682) 282-5440

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1336868363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336616",
            "telephone_number": "817-346-0453",
            "fax_number": "817-346-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336616",
            "telephone_number": "817-346-0453",
            "fax_number": "817-346-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMULLIN",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15286",
            "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 Mar 29, 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.