Individual provider Active NPI

Walter Joe Ford Jr., DC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1669579173
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7844DC Issued in TX
Practice address
4020 W Plano Pkwy
Plano, TX 75093-5613
Phone
(972) 867-2900
Fax
(972) 867-2902
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7844DC TX Primary

Addresses

Primary practice location

4020 W Plano Pkwy
Plano, TX 75093-5613

Mailing address

4020 W. Plano Pkwy
Plano, TX 75093
Phone (972) 867-2900

Other identifiers 2

IdentifierTypeStateIssuer
606038OtherTXBLUE CROSS BLUE SHIELD
7844DCOtherTXLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000842 TX Practitioner - ChiropracticPractitioner - Sports Medicine 9133381882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7844DCTXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Low Vision Institute of Texas PLLC CurrentSince Feb 26, 2023 Accepting new patients
Model Wellness, PLLC Chiropractor CurrentSince Apr 28, 2021 Accepting new patients
Vitality Studios Chiropractor Past Accepting new patients
Apmd LLC PastSince Apr 28, 2021 Accepting new patients

Locations

14350 Proton Rd
Farmers Branch, TX 75244
Phone (214) 441-7610

4020 W Plano Pkwy
Plano, TX 75093
Phone (469) 999-2747

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1669579173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W. PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-867-2900",
            "fax_number": "972-867-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935613",
            "telephone_number": "972-867-2900",
            "fax_number": "972-867-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "WALTER",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7844DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "606038",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "7844DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.