Individual provider Active NPI

Timothy Uselton, DC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carrollton, TX
National Provider Identifier
1730117599
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
7350 Issued in TX
Practice address
1629 W Hebron Pkwy
Carrollton, TX 75010-6334
Phone
(972) 478-5538
Fax
(972) 820-7177
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 7350 TX Primary

Addresses

Primary practice location

1629 W Hebron Pkwy
Carrollton, TX 75010-6334

Mailing address

1629 W Hebron Pkwy
Carrollton, TX 75010-6334
Phone (972) 478-5538

Other identifiers 1

IdentifierTypeStateIssuer
11536574OtherCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000775 TX Practitioner - Chiropractic 9133203995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebron Physical Medicine PCGroup PAC ID 6709159510, 2 clinicians

Practice addresses (Care Compare)

1629 W Hebron Pkwy
Carrollton, TX 75010-6334
Phone (972) 478-5538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7350TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hebron Physical Medicine PC Pain Medicine CurrentSince Jan 1, 2017 Accepting new patients
Trinity Rehab Services Pain Medicine Current Accepting new patients
Longview Integrated Medicine PLLC Current Accepting new patients
T Uselton Inc PastSince Jun 27, 2017 Accepting new patients

Locations

1629 W Hebron Pkwy
Carrollton, TX 75010
Phone (972) 478-5538

3008 E Hebron Pkwy
Bldg 500
Carrollton, TX 75010
Phone (972) 478-5538

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1730117599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106334",
            "telephone_number": "972-478-5538",
            "fax_number": "972-820-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106334",
            "telephone_number": "972-478-5538",
            "fax_number": "972-820-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USELTON",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "7350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11536574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.