Individual provider Active NPI

Craig Ronald Himmelsehr, D.C.

  • Chiropractor
  • Garland, TX
National Provider Identifier
1467474890
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8299 Issued in TX
Practice address
1530 Forest LN S
Suite H
Garland, TX 75042-7950
Phone
(972) 272-8769
Fax
(972) 272-8920
NPI assigned
Jul 24, 2006
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8299 TX Primary
Sports Physician Chiropractor 111NS0005X 4000 TX

Addresses

Primary practice location

1530 Forest LN S
Suite H
Garland, TX 75042-7950

Mailing address

1530 Forest LN S
Suite H
Garland, TX 75042-7950
Phone (972) 272-8769

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
8299TXMDChiropractor
4000TXMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Himmelsehr Chiropractic Sports Physician Past Accepting new patients
Southwest Natural Health Care, L.L.C. Chiropractor Past Accepting new patients

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, 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1467474890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 FOREST LN S",
            "address_2": "SUITE H",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427950",
            "telephone_number": "972-272-8769",
            "fax_number": "972-272-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 FOREST LN S",
            "address_2": "SUITE H",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427950",
            "telephone_number": "972-272-8769",
            "fax_number": "972-272-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELSEHR",
        "first_name": "CRAIG",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8299",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "4000",
            "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 20, 2011; 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.