Individual provider Active NPI

Anthony Paternoster, D.C.

  • Chiropractor
  • Hurst, TX
National Provider Identifier
1508156704
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11648 Issued in TX
Practice address
1717 Precinct Line Rd Ste 205
Hurst, TX 76054-3197
Phone
(682) 200-7447
Fax
(682) 334-7119
NPI assigned
Apr 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11648 TX Primary

Addresses

Primary practice location

1717 Precinct Line Rd Ste 205
Hurst, TX 76054-3197

Mailing address

1717 Precinct Line Rd Ste 205
Hurst, TX 76054-3197
Phone (682) 200-7447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207000101 TX Practitioner - Chiropractic 3072741222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3004 Hwy 121
Suite a
Bedford, TX 76021-4088
Phone (817) 283-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11648TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovered Chiropractic Past Accepting new patients
Prime Global Enterprises, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1508156704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 PRECINCT LINE RD STE 205",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543197",
            "telephone_number": "682-200-7447",
            "fax_number": "682-334-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 PRECINCT LINE RD STE 205",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543197",
            "telephone_number": "682-200-7447",
            "fax_number": "682-334-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERNOSTER",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.