Active NPI
Daniel Faulk
- Chiropractor
- Tyler, TX
National Provider Identifier
1548049943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15716
- Practice address
- 3526 S Broadway Ave
Tyler, TX 75701-8707 - Phone
- (903) 617-6110
- NPI assigned
- Sep 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15716 | TX | Primary |
Addresses
Primary practice location
3526 S Broadway Ave
Tyler, TX 75701-8707
Mailing address
3526 S Broadway Ave
Tyler, TX 75701-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15716 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Health Family Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
3526 S Broadway Ave
Tyler, TX 75701
Phone (903) 617-6110
Organizations & group practices 1
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.
-
- Chiropractor
- Tyler, TX
- NPI 1851626519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1548049943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757018707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757018707",
"telephone_number": "903-617-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULK",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.