Active NPI
David M Redding, DC
- Chiropractor
- Friendswood, TX
National Provider Identifier
1770615890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5292
- Practice address
- 308 E Edgewood Dr
Friendswood, TX 77546-3823 - Phone
- (281) 992-4495
- Fax
- (281) 992-7412
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5292 | TX | Primary |
Addresses
Primary practice location
308 E Edgewood Dr
Friendswood, TX 77546-3823
Mailing address
308 E Edgewood Dr
Friendswood, TX 77546-3823
Phone (281) 992-4495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608176 | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5292 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770615890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E EDGEWOOD DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775463823",
"telephone_number": "281-992-4495",
"fax_number": "281-992-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E EDGEWOOD DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775463823",
"telephone_number": "281-992-4495",
"fax_number": "281-992-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDING",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "608176",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.