Individual provider Active NPI

David Wayne Nelson, D.C.

  • Chiropractor
  • Deer Park, TX
National Provider Identifier
1477573624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9403 Issued in TX
Practice address
205 East 8TH. Street
Deer Park, TX 77536
Phone
(281) 479-5797
Fax
(281) 479-6643
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9403 TX Primary

Addresses

Primary practice location

205 East 8TH. Street
Deer Park, TX 77536

Mailing address

205 East 8TH. Street
Deer Park, TX 77536
Phone (281) 479-9757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000811 TX Practitioner - Chiropractic 5890819569 Practice locations: Deer Park, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 E 8TH St
Deer Park, TX 77536-2755
Phone (281) 479-9757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1564NMMDMental Health Counselor
9403TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic Chiropractor PastSince Apr 19, 2010 Accepting new patients
McPearson Chiropractic Clinic, Inc Chiropractor PastSince Apr 19, 2010 Accepting new patients
Santa Maria P.C. Dba Caremore Chiropractic Centers Chiropractor PastSince May 20, 1996 Accepting new patients

Organizations & group practices 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477573624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EAST 8TH. STREET",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-479-9757",
            "fax_number": "281-479-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EAST 8TH. STREET",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-479-5797",
            "fax_number": "281-479-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, 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.

Verify at the official NPI Registry.