Allan George Preddy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6103 Issued in TX

Practice address

921 Shiloh Rd
Ste a-200
Tyler, TX 75703-1431

Phone

(903) 581-2776

Fax

(903) 581-4035

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Preddy Chiropractic PC

  • Chiropractor
  • Tyler, TX
  • NPI 1740307974
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598781882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD",
            "address_2": "STE A-200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031431",
            "telephone_number": "903-581-2776",
            "fax_number": "903-581-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD",
            "address_2": "STE A-200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031431",
            "telephone_number": "903-581-2776",
            "fax_number": "903-581-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDDY",
        "first_name": "ALLAN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER NUMBER",
            "identifier": "8K9990",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C06050859",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilfred O. Prados III, M.D.
• Ritesh R Prasad, MD
• Carey G Prater, O.D.
• Scott Clifford Pratt, PT, DPT
• Preddy Chiropractic PC
• Premier Kids Care Inc
• Premier Nephrology of Tyler
• Premise Health of Texas Medical, P.a
• Present Mind Counseling Center, PLLC
• Preston E Harrison Jr MD PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.