Individual provider Active NPI

Nicholas J Galloway II, DC

  • Chiropractor
  • Canton, TX
National Provider Identifier
1487633608
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8610 Issued in TX
Practice address
300 S Main St
Canton, TX 75103-1439
Phone
(214) 943-9431
Fax
(214) 943-9407
NPI assigned
Jan 16, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 8610 TX Primary

Addresses

Primary practice location

300 S Main St
Canton, TX 75103-1439

Mailing address

510 W Davis St
Dallas, TX 75208-4705
Phone (214) 943-9431

Other identifiers 4

IdentifierTypeStateIssuer
8M8881OtherTXBCBS
8P2241OtherTXBCBS
8U3300OtherTXBCBS
8P5602OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000362 TX Practitioner - Chiropractic 1850288432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Physicians Network IncGroup PAC ID 3476725227, 4 clinicians

Practice addresses (Care Compare)

214 W Colorado Blvd
Dallas, TX 75208-2326
Phone (214) 941-4550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8610TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Physicians Network Inc CurrentSince Jul 13, 2011 Accepting new patients
Rehab Physician's Network Chiropractor Past Accepting new patients
Ennis Healthcare Systems Inc Chiropractor Past Accepting new patients

Locations

300 S Main St
Canton, TX 75103
Phone (903) 567-6106

430 S Trade Days Blvd
Canton, TX 75103
Phone (903) 567-6106

214 W Colorado Blvd
Dallas, TX 75208
Phone (214) 941-4550

1001 12th Ave
Ste 146
Fort Worth, TX 76104
Phone (817) 377-4011

1051 Haskell St
Ste 200
Ft Worth, TX 76107
Phone (817) 377-4011

4202 San Pedro Ave
San Antonio, TX 78212
Phone (210) 260-9544

508 E Front St
Tyler, TX 75702
Phone (800) 942-4015

1102 Solon Place Way
Ste 2
Waxahachie, TX 75165
Phone (972) 875-7488

Organizations & group practices 4

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1487633608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084705",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751031439",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M8881",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P2241",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U3300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P5602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.