Active NPI
Nicholas J Cantrelle, D.C
- Chiropractor
- Dallas, TX
National Provider Identifier
1821237702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11541
- Practice address
- 1111 W Mockingbird LN Ste 1000
Dallas, TX 75247-5010 - Phone
- (214) 920-9111
- Fax
- (214) 920-9110
- NPI assigned
- Feb 17, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 11541 | TX | Primary |
Addresses
Primary practice location
1111 W Mockingbird LN Ste 1000
Dallas, TX 75247-5010
Mailing address
1111 W Mockingbird LN Ste 1000
Dallas, TX 75247-5010
Phone (214) 920-9111
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11541 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Q Factor Chiropractic LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Dallas, TX
- NPI 1942575550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1821237702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W MOCKINGBIRD LN STE 1000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752475010",
"telephone_number": "214-920-9111",
"fax_number": "214-920-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W MOCKINGBIRD LN STE 1000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752475010",
"telephone_number": "214-920-9111",
"fax_number": "214-920-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELLE",
"first_name": "NICHOLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-17",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.