Individual provider Active NPI

Hunt N. Whitehead, D.C.

  • Chiropractor
  • Southlake, TX
National Provider Identifier
1730335183
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7356 Issued in TX
Practice address
500 W Southlake Blvd
Ste 134
Southlake, TX 76092-6165
Phone
(817) 424-4044
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7356 TX Primary

Addresses

Primary practice location

500 W Southlake Blvd
Ste 134
Southlake, TX 76092-6165

Mailing address

8821 Davis Blvd, BLDG 3, Ste.320
8821 Davis Blvd, BLDG 3, Ste., 320
Keller, TX 76248
Phone (817) 223-6566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000194 TX Practitioner - Chiropractic 7911043120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8821 Davis Blvd
Suite 3
Keller, TX 76248-0308
Phone (817) 424-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitehead Chiropractic PC Chiropractor CurrentSince May 20, 2009 Accepting new patients

Locations

8821 Davis Blvd
Ste 320
Keller, TX 76248
Phone (817) 424-4044

500 W Southlake Blvd
Ste 134
Southlake, TX 76092
Phone (817) 424-4044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1730335183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 DAVIS BLVD, BLDG 3, STE.320",
            "address_2": "8821 DAVIS BLVD, BLDG 3, STE., 320",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-223-6566",
            "fax_number": "817-424-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SOUTHLAKE BLVD",
            "address_2": "STE 134",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926165",
            "telephone_number": "817-424-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "HUNT",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7356",
            "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 Aug 13, 2019; 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.