Timothy Walter Dolan, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

4333 Issued in TX

Practice address

2441 E Hwy 377
101
Granbury, TX 76049-5991

Phone

(817) 579-9444

Fax

(817) 579-9457

NPI assigned

Aug 15, 2006

Last updated

Apr 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Timothy W. Dolan DC PA

  dba Dolan Chiropractic

  • Internist Chiropractor
  • Granbury, TX
  • NPI 1710018825
  Authorized official Same address or phone

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1487667820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 E HWY 377",
            "address_2": "101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760495991",
            "telephone_number": "817-579-9444",
            "fax_number": "817-579-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 E HWY 377",
            "address_2": "101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760495991",
            "telephone_number": "817-579-9444",
            "fax_number": "817-579-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "TIMOTHY",
        "middle_name": "WALTER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "4333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Deskin
• Elizabeth Dever
• Marcie Diamond, PTA
• DME Solutions LP
• Joshua Dodge
• Brittney Christine Dollahite, PT, DPT
• Joan E Dollar
• Melissa Dominguez
• Melissa Dorr, PT, DPT
• Karen Jane Dougherty, RN

• Internist Chiropractor in Granbury, TX
• Providers in Granbury, TX by specialty
• Internist Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.