Douglas E Bedichek, D.C.
Individual provider Active NPI Chiropractor · Coppell, TX
NPI 1508816893 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1508816893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5943 (TX)
- Practice address
- 870 S Denton Tap Rd Ste 200
Coppell, TX 75019-4575 - Phone
- (972) 393-3737
- Fax
- (972) 393-4925
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
870 S Denton Tap Rd
Suite 200
Coppell, TX 75019-4575
Phone (972) 393-3737
878 S Denton Tap Rd
Suite 125
Coppell, TX 75019-4570
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908001137 | TX | Practitioner - Chiropractic | 2466457791 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverchase Rehab & Wellness PA | Chiropractor | Current |
Accepting new patients |
Locations
820 S MacArthur Blvd
#145
Coppell, TX 75019
Phone (972) 393-3737
870 S Denton Tap Rd
Ste 200
Coppell, TX 75019
Phone (972) 393-3737
878 S Denton Tap Rd
Ste 125
Coppell, TX 75019
Phone (972) 393-3737
870 S Denton Tap Rd
Coppell, TX 75019
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5943 | TX | Yes |
Addresses
Primary practice location
870 S Denton Tap Rd Ste 200
Coppell, TX 75019-4575
Mailing address
870 S Denton Tap Rd Ste 200
Coppell, TX 75019-4575
Phone (972) 393-3737
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.