Individual provider Active NPI

Dennis Wayne Williamson, D.C.

  • Chiropractor
  • Garland, TX
National Provider Identifier
1346397080
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10235 Issued in TX
Practice address
4702 Northwest Hwy
Garland, TX 75043-4912
Phone
(972) 270-5333
Fax
(972) 270-5335
NPI assigned
Jan 4, 2007
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10235 TX Primary
Sports Physician Chiropractor 111NS0005X 10235 TX
Occupational Health Chiropractor 111NX0100X 10235 TX
Independent Medical Examiner Chiropractor 111NI0013X 10235 TX

Addresses

Primary practice location

4702 Northwest Hwy
Garland, TX 75043-4912

Mailing address

4702 Northwest Hwy
Garland, TX 75043-4912
Phone (972) 270-5333

Other practice location 1

1138 Belt Line Rd Ste 135
Garland, TX 75040-1993
Phone (469) 969-0424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000108 TX Practitioner - Chiropractic 0345326104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4702 Northwest Hwy
Garland, TX 75043-4912
Phone (972) 270-5333

8688 Skillman St
Dallas, TX 75243-8265
Phone (214) 484-2359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Time PA Chiropractor CurrentSince Nov 9, 2007 Accepting new patients
Garland Integrated Healthcare PLLC CurrentSince Jul 30, 2020 Accepting new patients
Affordable Chiropractic, LLC Chiropractor CurrentSince Jul 30, 2020 Accepting new patients

Locations

8688 Skillman St
Dallas, TX 75243
Phone (214) 484-2359

1138 Belt Line Rd
Ste 135
Garland, TX 75040
Phone (469) 969-0426

1750 Northwest Hwy
Ste 250A
Garland, TX 75041
Phone (870) 951-0345

4702 Northwest Hwy
Garland, TX 75043
Phone (972) 270-5333

427 N Town East Blvd
Ste 105
Mesquite, TX 75150
Phone (469) 677-0232

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1346397080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434912",
            "telephone_number": "972-270-5333",
            "fax_number": "972-270-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434912",
            "telephone_number": "972-270-5333",
            "fax_number": "972-270-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 Belt Line Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750401993",
            "country_code": "US",
            "telephone_number": "469-969-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "DENNIS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-12-14",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10235",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10235",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "10235",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "TX",
            "license": "10235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.