Individual provider Active NPI

David Leonard Whigham, LP

  • Massage Therapist
  • Killeen, TX
National Provider Identifier
1376164665
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT124457 Issued in TX
Practice address
4008 E Stan Schlueter Loop Ste 108
Killeen, TX 76542-8537
Phone
(254) 702-6864
NPI assigned
Apr 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT124457 TX Primary

Addresses

Primary practice location

4008 E Stan Schlueter Loop Ste 108
Killeen, TX 76542-8537

Mailing address

6312 Alabaster Dr
Killeen, TX 76542-5729
Phone (254) 702-6864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT124457TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Touch TX PLLC Massage Therapist CurrentSince May 3, 2020 Accepting new patients

Locations

4008 E Stan Schlueter Loop
Ste 108
Killeen, TX 76542
Phone (254) 245-8003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1376164665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 ALABASTER DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425729",
            "telephone_number": "254-702-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 E STAN SCHLUETER LOOP STE 108",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765428537",
            "telephone_number": "254-702-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIGHAM",
        "first_name": "DAVID",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT124457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.