Individual provider Active NPI

Dirk Bryce Lindley, DC

  • Chiropractor
  • Waco, TX
National Provider Identifier
1376133884
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14298 Issued in TX
Practice address
8300 Old McGregor Rd # 2a
Waco, TX 76712-3600
Phone
(254) 537-1064
Fax
(254) 537-1092
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14298 TX Primary

Addresses

Primary practice location

8300 Old McGregor Rd # 2a
Waco, TX 76712-3600

Mailing address

8300 Old McGregor Rd # 2a
Waco, TX 76712-3600
Phone (254) 537-1064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311001254 TX Practitioner - Chiropractic 6507272804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Integrated Medical PLLCGroup PAC ID 3274863808, 10 clinicians

Practice addresses (Care Compare)

1139 N Loop
Suite 340
Waco, TX 76705-2486
Phone (254) 799-8343

5000 W Waco Dr
Waco, TX 76710-7022
Phone (254) 537-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Integrated Medical PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

1139 N Loop 340
Waco, TX 76705
Phone (254) 799-8343

5000 W Waco Dr
Waco, TX 76710
Phone (254) 537-1064

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, 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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1376133884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 OLD MCGREGOR RD # 2A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123600",
            "telephone_number": "254-537-1064",
            "fax_number": "254-537-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 OLD MCGREGOR RD # 2A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123600",
            "telephone_number": "254-537-1064",
            "fax_number": "254-537-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLEY",
        "first_name": "DIRK",
        "middle_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

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