Organization Active NPI

Sweetwater Spine Clinic, P.a.

  • Chiropractor
  • Sweetwater, TX
National Provider Identifier
1558311746
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9805 Issued in TX
Legal business name
SWEETWATER SPINE CLINIC, P.A.
Practice address
1408 Hailey St
Sweetwater, TX 79556-2508
Phone
(325) 235-9355
Fax
(325) 235-1011
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Dr. David R King, DCNPI 1568412039
Title
Owner
Phone
(325) 235-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9805 TX Primary

Addresses

Primary practice location

1408 Hailey St
Sweetwater, TX 79556-2508

Mailing address

1408 Hailey St
Sweetwater, TX 79556-2508
Phone (325) 235-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050106000784 TX Part B Supplier - Clinic/Group Practice 4486602430 Receives reassigned benefits from 1 practitioner
Practice locations: Sweetwater, TX

National Provider Directory

National Provider Directory

Locations

1408 Hailey St
Sweetwater, TX 79556
Phone (325) 235-9355

1413 Hailey St
Sweetwater, TX 79556
Phone (325) 235-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1558311746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562508",
            "telephone_number": "325-235-9355",
            "fax_number": "325-235-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562508",
            "telephone_number": "325-235-9355",
            "fax_number": "325-235-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER SPINE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-235-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.