Individual provider Active NPI

Carl Heath, DC

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1710277199
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11747 Issued in TX
Practice address
5509 Colleyville Blvd
Ste 100
Colleyville, TX 76034-7807
Phone
(817) 479-0055
Fax
(817) 479-0058
NPI assigned
Apr 19, 2011
Last updated
Apr 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11747 TX Primary

Addresses

Primary practice location

5509 Colleyville Blvd
Ste 100
Colleyville, TX 76034-7807

Mailing address

P.O. Box 677449
Dallas, TX 75267
Phone (630) 754-8788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000481 TX Practitioner - Chiropractic 3870763683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myocore LLCGroup PAC ID 9830267277, 30 clinicians

Practice addresses (Care Compare)

4401 Coit Rd
Suite 403
Frisco, TX 75035-0516
Phone (214) 295-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myocore, LLC Chiropractor CurrentSince Jan 3, 2023 Accepting new patients
Chiro One Wellness Center of Colleyville PLLC Chiropractor Past Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

601 SE Melody Ln
Ste 101
Lees Summit, MO 64063

4401 Coit Rd
Ste 403
Frisco, TX 75035
Phone (214) 295-4321

6300 W Parker Rd
Ste G25
Plano, TX 75093
Phone (469) 252-4777

Organizations & group practices 2

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1710277199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 677449",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75267",
            "telephone_number": "630-754-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 COLLEYVILLE BLVD",
            "address_2": "STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347807",
            "telephone_number": "817-479-0055",
            "fax_number": "817-479-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "CARL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.