Keeston Waters, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11131 Issued in TX

Practice address

554 W Ralph Hall Pkwy
Rockwall, TX 75032-6644

Phone

(972) 771-3388

Fax

(972) 722-3398

NPI assigned

Mar 3, 2009

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curis Functional HealthGroup PAC ID 6709207590, 42 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Curis Functional Health

  • Chiropractor
  • Dallas, TX
  • NPI 1023508116
  Medicare reassignment Care Compare group NPD
• Rockwall Pro Health Chiropractic

  • Chiropractor
  • Rockwall, TX
  • NPI 1235379157
  Authorized official Same address or phone

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1497995419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 W RALPH HALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326644",
            "telephone_number": "972-771-3388",
            "fax_number": "972-722-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 W RALPH HALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326644",
            "telephone_number": "972-771-3388",
            "fax_number": "972-722-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KEESTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan G Warchol, DMD
• Jenaya Judonne Ward, MD
• Kacy Ward, MPT
• Jimmy Lee Wardlaw Sr.
• Jeffrey L. Wasserman, M.D.
• Jessica Watkins, SLP ASSISTANT
• Macie Watkins, DPT
• Chasity Anne Watson, LCSW
• Richard Chad Watson
• Katherine Frances Wavering, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.