Active NPI
David Wayne Nelson, D.C.
- Chiropractor
- Deer Park, TX
National Provider Identifier
1477573624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9403
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1564 | NM | MD | Mental Health Counselor |
| 9403 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson Chiropractic | Chiropractor | Past | Accepting new patients |
| McPearson Chiropractic Clinic, Inc | Chiropractor | Past | Accepting new patients |
| Santa Maria P.C. Dba Caremore Chiropractic Centers | Chiropractor | Past | 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.
-
- Chiropractor
- Deer Park, TX
- NPI 1285966143
-
- Chiropractor
- Deer Park, TX
- NPI 1801984117
-
- Chiropractor
- Albuquerque, NM
- NPI 1538173463
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.