Active NPI
David Walters, DC
- Rehabilitation Chiropractor
- Dallas, TX
National Provider Identifier
1629018643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5611
- Practice address
- 2600 Electronic LN
Dallas, TX 75220-1216 - Phone
- (972) 768-1438
- Fax
- (214) 902-3475
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5611 | TX | |
| Rehabilitation Chiropractor | 111NR0400X | 5611 | TX | Primary |
Addresses
Primary practice location
2600 Electronic LN
Dallas, TX 75220-1216
Mailing address
2500 Electronic Lane
Dallas, TX 75229
Phone (972) 768-1438
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, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Electronic LN
Dallas, TX 75220-1216
Phone (972) 438-6932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker University | Chiropractor | Current | Accepting new patients |
Locations
2600 Electronic Ln
Dallas, TX 75220
Phone (972) 438-6932
2540 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 902-3447
Interoperability endpoints
- https://api.platform.athenahealth.com/23964/brand/1/csg/1/fhir/r4
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
- Dallas, TX
- NPI 1669582680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1629018643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ELECTRONIC LANE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75229",
"telephone_number": "972-768-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 ELECTRONIC LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752201216",
"telephone_number": "972-768-1438",
"fax_number": "214-902-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5611",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "5611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.