Waters Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WATERS CHIROPRACTIC CLINIC, INC

Practice address

3229 Rankin St
Dallas, TX 75205-1418

Phone

(214) 265-8192

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Patrick Waters III, DCNPI 1093743536

Title

Owner/President

Phone

(214) 265-8192

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waters Chiropractic Other name

Practitioners 2

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

• Thomas Patrick Waters III, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1093743536
  NPD (past) Authorized official
• Pamela Jill Waters, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1114015328
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1689865248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 RANKIN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051418",
            "telephone_number": "214-265-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 RANKIN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051418",
            "telephone_number": "214-265-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "214-265-8192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0052AK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waters Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Avery Wasson, LPC-A
• Etsuko Watanabe, DDS
• Water Veiw Imaging Inc
• Jillian Katherine Waterbury, RN, MSN, CPNP
• Courtney Waterman
• Waters Family Chiropractic PC
• Ami E Waters, MD
• Cara Leigh Waters, LPC-A
• Caroline Waters
• Chrisean J Waters

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.