Organization Active NPI

David Waldrop LLC

  • Chiropractor
  • Whitesboro, TX
National Provider Identifier
1669256038
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAVID WALDROP LLC
Practice address
580 Highway 377 N
Whitesboro, TX 76273-7450
Phone
(903) 564-9815
Fax
(903) 564-7891
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Kimberly Moore
Title
Practice Manager
Phone
(903) 564-9815

Specialties & licenses 1

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

Addresses

Primary practice location

580 Highway 377 N
Whitesboro, TX 76273-7450

Mailing address

580 Highway 377 N
Whitesboro, TX 76273-7450
Phone (903) 564-9815

Other names 1

  • Texoma Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231108003604 TX Part B Supplier - Clinic/Group Practice 1153778303 Receives reassigned benefits from 1 practitioner
Practice locations: Whitesboro, TX

National Provider Directory

National Provider Directory

Locations

580 Highway 377 N
Whitesboro, TX 76273
Phone (903) 546-9815

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": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1669256038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 HIGHWAY 377 N",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762737450",
            "telephone_number": "903-564-9815",
            "fax_number": "903-564-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 HIGHWAY 377 N",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762737450",
            "telephone_number": "903-564-9815",
            "fax_number": "903-564-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID WALDROP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "903-564-9815"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texoma Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitesboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.