Active NPI
Tom Katsadas, D.C.
- Chiropractor
- Arlington, TX
National Provider Identifier
1417935875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9078
- Practice address
- 100 W Pioneer Pkwy
110
Arlington, TX 76010-6131 - Phone
- (817) 801-7109
- NPI assigned
- Jan 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9078 | TX | Primary |
Addresses
Primary practice location
100 W Pioneer Pkwy
110
Arlington, TX 76010-6131
Mailing address
2752 Pleasant Hill Rd
Grand Prairie, TX 75052-8555
Phone (817) 714-5085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051201000839 | TX | Practitioner - Chiropractic | 4688694813 | Practice locations: Dalworthington Gardens, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2104 Roosevelt Dr
Suite R
Dalworthington Gardens, TX 76013-5900
Phone (817) 801-7109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417935875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2752 PLEASANT HILL RD",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528555",
"telephone_number": "817-714-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W PIONEER PKWY",
"address_2": "110",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760106131",
"telephone_number": "817-801-7109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSADAS",
"first_name": "TOM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.