Active NPI
Dale L Mansfield, DC
- Chiropractor
- Midland, TX
National Provider Identifier
1609973502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2347
- Practice address
- 4107 W Illinois
Midland, TX 79703 - Phone
- (432) 697-1643
- Fax
- (432) 694-7939
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | DC2347 | TX | Primary |
Addresses
Primary practice location
4107 W Illinois
Midland, TX 79703
Mailing address
4107 W Illinois
Midland, TX 79703
Phone (432) 697-1643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000929201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4107 W Illinois Ave
Midland, TX 79703-5526
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2347 | TX | MD | Chiropractor |
| 2347 | TX | MD | Podiatrist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Midland, TX
- NPI 1356681290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1609973502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 W ILLINOIS",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79703",
"telephone_number": "432-697-1643",
"fax_number": "432-694-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 W ILLINOIS",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79703",
"telephone_number": "432-697-1643",
"fax_number": "432-694-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "DALE",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC2347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000929201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.