Individual provider Active NPI

Gracie Taccetta, DC

  • Chiropractor
  • Coppell, TX
National Provider Identifier
1477448801
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16500 Issued in TX
Practice address
255 S Denton Tap Rd Ste 200
Coppell, TX 75019-5050
Phone
(972) 556-9595
Fax
(972) 556-9595
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16500 TX Primary

Addresses

Primary practice location

255 S Denton Tap Rd Ste 200
Coppell, TX 75019-5050

Mailing address

4521 Sandera LN
Flower Mound, TX 75028-2038
Phone (512) 660-0351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202001838 TX Practitioner - Chiropractic 5395223200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1845 E Southlake Blvd
Suite 140
Southlake, TX 76092-6501

PO Box
Suite 550
Ingram, TX 78025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16500TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Erb Family Wellness Southlake LLC Chiropractor CurrentSince Dec 24, 2025 Accepting new patients
Erb Family Chiropractic Center PC Chiropractor CurrentSince Jun 15, 2025 Accepting new patients

Locations

255 S Denton Tap Rd
Ste 200
Coppell, TX 75019
Phone (972) 393-6262

1845 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (817) 895-0075

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1477448801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 SANDERA LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282038",
            "telephone_number": "512-660-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S DENTON TAP RD STE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195050",
            "telephone_number": "972-556-9595",
            "fax_number": "972-556-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACCETTA",
        "first_name": "GRACIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.