Individual provider Active NPI

Kimberly M Pinson-Erb, DC

  • Chiropractor
  • Coppell, TX
National Provider Identifier
1760429849
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7321 Issued in TX
Practice address
255 S Denton Tap Rd
Suite 200
Coppell, TX 75019
Phone
(972) 556-9595
Fax
(972) 556-0118
NPI assigned
May 31, 2006
Last updated
May 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 7321 TX
Chiropractor 111N00000X 7321 TX Primary

Addresses

Primary practice location

255 S Denton Tap Rd
Suite 200
Coppell, TX 75019

Mailing address

255 S Denton Tap Rd
Suite 200
Coppell, TX 75019-5050
Phone (972) 556-9595

Other identifiers 4

IdentifierTypeStateIssuer
5223835OtherTXFIRST HEALTH PROVIDER #
828260OtherTXBCBS PROVIDER #
658710OtherTXMEDICARE
5756609OtherTXAETNA PROVIDER #

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
I20051110000608 TX Practitioner - ChiropracticPractitioner - Neurology 8628096369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1845 E Southlake Blvd
Southlake, TX 76092-6501
Phone (817) 895-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7321TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Erb Family Chiropractic Center PC Chiropractor CurrentSince Apr 30, 2003 Accepting new patients
Erb Family Wellness Southlake LLC Chiropractor CurrentSince Jan 30, 2018 Accepting new patients

Locations

255 S Denton Tap Rd
Ste 200
Coppell, TX 75019
Phone (972) 393-6262

10009 N MacArthur Blvd
Ste 109
Irving, TX 75063
Phone (214) 238-7400

1845 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (817) 895-0075

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1760429849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S DENTON TAP RD",
            "address_2": "SUITE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195050",
            "telephone_number": "972-556-9595",
            "fax_number": "972-556-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S DENTON TAP RD",
            "address_2": "SUITE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-556-9595",
            "fax_number": "972-556-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSON-ERB",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "7321",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER #",
            "identifier": "5223835",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "828260",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "658710",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5756609",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.