Sidney Charles Pruitt III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4810 Issued in TX

Practice address

103 E Lone Star
Cleburne, TX 76031

Phone

(817) 645-8116

Fax

(817) 558-8116

NPI assigned

Jul 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joshua Chiropractic PLLC

  • Chiropractor
  • Joshua, TX
  • NPI 1427063395
  NPD (past) Authorized official
• Joshua Chiropractic PLLC

  • Chiropractor
  • Joshua, TX
  • NPI 1518082528
  NPD (past) Authorized official
• Pruitt Chiropractic PLLC

  • Chiropractor
  • Cleburne, TX
  • NPI 1285205005
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1497760813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E LONE STAR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76031",
            "telephone_number": "817-645-8116",
            "fax_number": "817-558-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E LONE STAR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76031",
            "telephone_number": "817-645-8116",
            "fax_number": "817-558-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "SIDNEY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C06019489",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Powers, AUD
• Zoey Grace Prater
• Procare Home Care Services Unlimited, Corp
• Pruitt Chiropractic PLLC
• Sidney Pruitt IV, DC
• Psych Counseling Services, PLLC
• Pulse Medical Lab LLC
• Grethe Michelle Quiej
• Constance Marie Rafailedes, M.A., L.P.C., R.P.T.
• Randell R Ray PC

• Chiropractor in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.