Individual provider Active NPI

David Turk, DC

  • Chiropractor
  • Mineral Wells, TX
National Provider Identifier
1699854547
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6493 Issued in TX
Practice address
112 SE 4TH Ave
Mineral Wells, TX 76067-5341
Phone
(940) 325-0077
Fax
(940) 325-3154
NPI assigned
Nov 3, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6493 TX Primary

Addresses

Primary practice location

112 SE 4TH Ave
Mineral Wells, TX 76067-5341

Mailing address

112 SE 4TH Ave
Mineral Wells, TX 76067-5341
Phone (940) 325-0077

Other identifiers 3

IdentifierTypeStateIssuer
8A2260OtherTXBCBS PROVIDER ID
350055898OtherTXRAILROAD MEDICARE
605061OtherTXHUMANA PROVIDER ID

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
I20090310000098 TX Practitioner - ChiropracticPractitioner - Neurology 7911893755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 SE 4TH Ave
Mineral Wells, TX 76067-5341
Phone (940) 325-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC6493TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Neurology Center, PC Chiropractor CurrentSince Mar 5, 2009 Accepting new patients

Locations

112 SE 4th Ave
Mineral Wells, TX 76067
Phone (940) 325-0077

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1699854547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SE 4TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675341",
            "telephone_number": "940-325-0077",
            "fax_number": "940-325-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SE 4TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675341",
            "telephone_number": "940-325-0077",
            "fax_number": "940-325-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURK",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8A2260",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350055898",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER ID",
            "identifier": "605061",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.