Active NPI
Presten Earl Witherspoon, D.C.
- Chiropractor
- Mansfield, TX
National Provider Identifier
1356441075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10252
- Practice address
- 701 E Debbie LN Ste 113
Mansfield, TX 76063-3346 - Phone
- (817) 592-3664
- Fax
- (817) 592-3904
- NPI assigned
- Sep 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3769 | OR | |
| Chiropractor | 111N00000X | 10252 | TX | Primary |
Addresses
Primary practice location
701 E Debbie LN Ste 113
Mansfield, TX 76063-3346
Mailing address
PO Box 1121
Midlothian, TX 76065-1121
Phone (469) 297-8053
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
- Group practices
Practice addresses (Care Compare)
701 E Debbie LN
Suite 113
Mansfield, TX 76063-3346
Phone (817) 592-3664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10252 | TX | MD | Professional Counselor |
| 3769 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmercare Chiropractic Mansfield LLC | Chiropractor | Current | Accepting new patients |
| Health Touch LLC | Chiropractor | Past | Accepting new patients |
Locations
701 E Debbie Ln
Ste 113
Mansfield, TX 76063
Phone (703) 421-2990
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.
-
- Chiropractor
- Mansfield, TX
- NPI 1245820265
-
- Chiropractor
- Tigard, OR
- NPI 1609902584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1356441075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760651121",
"telephone_number": "469-297-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E DEBBIE LN STE 113",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633346",
"telephone_number": "817-592-3664",
"fax_number": "817-592-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "PRESTEN",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3769",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.