Individual provider Active NPI

David Rosenthal, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1831115666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10053 Issued in TX
Practice address
3530 Forest LN
Suite 290
Dallas, TX 75234-7910
Phone
(972) 322-2280
Fax
(972) 733-3112
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10053 TX Primary
Chiropractor 111N00000X CH 2276 MA
Chiropractor 111N00000X X009109-1 NY

Addresses

Primary practice location

3530 Forest LN
Suite 290
Dallas, TX 75234-7910

Mailing address

19251 Preston Rd
#505
Dallas, TX 75252-8552
Phone (972) 322-2280

Other identifiers 2

IdentifierTypeStateIssuer
Y36980OtherMABLUE CROSS/ BLUE SHIELDMA
608210OtherTXBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130426000160 TX Practitioner - Chiropractic 6305857988 Practice locations: Carrollton, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2418 Marsh LN
Suite 102
Carrollton, TX 75006-3343
Phone (972) 322-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 2276MAMDChiropractor
X009109-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David Rosenthal, DC, PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831115666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 PRESTON RD",
            "address_2": "#505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752528552",
            "telephone_number": "972-322-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 FOREST LN",
            "address_2": "SUITE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347910",
            "telephone_number": "972-322-2280",
            "fax_number": "972-733-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10053",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH 2276",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009109-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELDMA",
            "identifier": "Y36980",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "608210",
            "state": "TX"
        }
    ],
    "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 Jul 8, 2007; 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.