Angela Draughon Preston DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4335 Issued in TX

Legal business name

ANGELA DRAUGHON PRESTON DC PA

Practice address

2007 N Galloway Ave
Mesquite, TX 75149-1552

Phone

(972) 285-0010

Fax

(972) 285-0295

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Angela Draughon Preston, DCNPI 1285621177

Title

DC Owner

Phone

(972) 285-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Angela Draughon-Preston, DC

  • Chiropractor
  • Mesquite, TX
  • NPI 1285621177
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1619115037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491552",
            "telephone_number": "972-285-0010",
            "fax_number": "972-285-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491552",
            "telephone_number": "972-285-0010",
            "fax_number": "972-285-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA DRAUGHON PRESTON DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "DRAUGHON PRESTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "972-285-0010",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001504201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.