Active NPI
Richard David Thwaites, DC
- Chiropractor
- Southlake, TX
National Provider Identifier
1689173320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13581
- Practice address
- 950 E State Highway 114 Ste 160-108
Southlake, TX 76092-5240 - Phone
- (214) 205-2661
- Fax
- (214) 481-1240
- NPI assigned
- Feb 8, 2018
- Last updated
- Feb 8, 2018
- 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 | 13581 | TX | Primary |
Addresses
Primary practice location
950 E State Highway 114 Ste 160-108
Southlake, TX 76092-5240
Mailing address
950 E State Highway 114 Ste 160-108
Southlake, TX 76092-5240
Phone (214) 205-2661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13581 | TX | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1689173320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E STATE HIGHWAY 114 STE 160-108",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925240",
"telephone_number": "214-205-2661",
"fax_number": "214-481-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E STATE HIGHWAY 114 STE 160-108",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925240",
"telephone_number": "214-205-2661",
"fax_number": "214-481-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THWAITES",
"first_name": "RICHARD",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "13581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.